38-YEAR-OLD CHEESE-LOWER WITH SUSPECTED CEREBRAL VASCULITIS
Keywords:
chronic meningitis, neurobrucellosis, prosthetic joint infectionAbstract
Background. This study presents a 38-year-old patient who presented with a few weeks lasting headache, double vision, neck pain, nausea and vomiting, paresthesiae of her face and arms and aphasia. Patient’s physical and neurological examination on admission was unremarkable.
Results. Cerebrospinal fluid findings showed a lymphocytic pleocytosis and increased protein concentration with presence of oligoclonal banding. Magnetic resonance imaging of the head showed multiple subcortical lesions.
Conclusions. This study describes complications due to initial false diagnosis and discusses the differential diagnosis of chronic meningitis. As brucellosis usually presents in a very nonspecific manner, the diagnosis can be difficult. The primary pitfall is failure to consider possible infection with Brucella in a patient with history that suggests a possible source of infection. Therefore, a detailed history and knowledge of the patient exposures in the recent past is essential.
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