Neurobrucellosis Presented by Cerebral Salt Wasting

This case reported here was a 27-year-old female patient, and she had no chronic disease other than hypothyroidism. She was brought to the ER with complaints of fever, chills, weakness, and hyponatremia. She has been diagnosed with brucellosis using a serum tube agglutination test (STAT). Cerebrospi...

Descripción completa

Detalles Bibliográficos
Autores principales: Kemec, Zeki, Tüzün, Cevat, Yıldırım, İdris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314369/
https://www.ncbi.nlm.nih.gov/pubmed/32596090
http://dx.doi.org/10.7759/cureus.8275
Descripción
Sumario:This case reported here was a 27-year-old female patient, and she had no chronic disease other than hypothyroidism. She was brought to the ER with complaints of fever, chills, weakness, and hyponatremia. She has been diagnosed with brucellosis using a serum tube agglutination test (STAT). Cerebrospinal fluid (CSF) analysis and brain MRI findings supported the central nervous system (CNS) involvement of the brucella. Despite intense 3% NaCl hydration, her hyponatremia was persisting. Sodium stabilized on the 14th day when the antibrucellosis treatment effect was settled. Hyponatremia was attributed to cerebral salt wasting (CSW) due to neurobrucellosis.

Ejemplares similares