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Brucella Shunt Infection as a Rare Presentation of Neurobrucellosis
Brucellosis, as a systemic infection with potential to involving virtually all organ systems, is an endemic zoonosis in Iran. This is the history of a 17-year-old boy with a ventriculoperitoneal (VP) shunt who presented with prolonged fever, constipation, and abdominal pain. Laboratory studies, incl...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360539/ https://www.ncbi.nlm.nih.gov/pubmed/30805231 http://dx.doi.org/10.1155/2019/7291482 |
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author | Mehrabian, Fatemeh Abdi Layaee, Zahra Ahmadinejad, Zahra |
author_facet | Mehrabian, Fatemeh Abdi Layaee, Zahra Ahmadinejad, Zahra |
author_sort | Mehrabian, Fatemeh |
collection | PubMed |
description | Brucellosis, as a systemic infection with potential to involving virtually all organ systems, is an endemic zoonosis in Iran. This is the history of a 17-year-old boy with a ventriculoperitoneal (VP) shunt who presented with prolonged fever, constipation, and abdominal pain. Laboratory studies, including cerebrospinal fluid (CSF) and blood tests, revealed a VP shunt infection with Brucella spp. We treated the patient with rifampicin, trimethoprim-sulfamethoxazole (cotrimoxazole), and ceftriaxone. Also, the shunt was temporarily replaced with an extraventricular drain until the CSF culture was sterile and a new permanent VP shunt could be inserted. We report this case to underline the diagnostic possibility of brucellosis in every case of protracted fever of unknown origin (FUO), irrespective of accompanying signs and symptoms. |
format | Online Article Text |
id | pubmed-6360539 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-63605392019-02-25 Brucella Shunt Infection as a Rare Presentation of Neurobrucellosis Mehrabian, Fatemeh Abdi Layaee, Zahra Ahmadinejad, Zahra Case Rep Infect Dis Case Report Brucellosis, as a systemic infection with potential to involving virtually all organ systems, is an endemic zoonosis in Iran. This is the history of a 17-year-old boy with a ventriculoperitoneal (VP) shunt who presented with prolonged fever, constipation, and abdominal pain. Laboratory studies, including cerebrospinal fluid (CSF) and blood tests, revealed a VP shunt infection with Brucella spp. We treated the patient with rifampicin, trimethoprim-sulfamethoxazole (cotrimoxazole), and ceftriaxone. Also, the shunt was temporarily replaced with an extraventricular drain until the CSF culture was sterile and a new permanent VP shunt could be inserted. We report this case to underline the diagnostic possibility of brucellosis in every case of protracted fever of unknown origin (FUO), irrespective of accompanying signs and symptoms. Hindawi 2019-01-21 /pmc/articles/PMC6360539/ /pubmed/30805231 http://dx.doi.org/10.1155/2019/7291482 Text en Copyright © 2019 Fatemeh Mehrabian et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Mehrabian, Fatemeh Abdi Layaee, Zahra Ahmadinejad, Zahra Brucella Shunt Infection as a Rare Presentation of Neurobrucellosis |
title |
Brucella Shunt Infection as a Rare Presentation of Neurobrucellosis |
title_full |
Brucella Shunt Infection as a Rare Presentation of Neurobrucellosis |
title_fullStr |
Brucella Shunt Infection as a Rare Presentation of Neurobrucellosis |
title_full_unstemmed |
Brucella Shunt Infection as a Rare Presentation of Neurobrucellosis |
title_short |
Brucella Shunt Infection as a Rare Presentation of Neurobrucellosis |
title_sort | brucella shunt infection as a rare presentation of neurobrucellosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360539/ https://www.ncbi.nlm.nih.gov/pubmed/30805231 http://dx.doi.org/10.1155/2019/7291482 |
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