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Unusual presentation of more common disease/injury
Case report
Demyelinating steroid-responsive neurobrucellosis
  1. Fateen Ata1,
  2. Zohaib Yousaf1,
  3. Mohammad Khalid Sharif2 and
  4. Ahmed Abdallah1
  1. 1Internal Medicine, Department of Medical Education, Hamad General Hospital,Hamad Medical Corporation, Doha, Qatar
  2. 2Medicine, Alkhor Hospital,Hamad Medical Corporation, Alkhor, Qatar
  1. Correspondence to Dr Zohaib Yousaf; zohaib.yousaf{at}gmail.com

Abstract

Young man with acute onset nausea, vomiting, joint pain, abdominal pain, fever and weight loss was found to have gait ataxia and positive Brucella titres. He deteriorated despite appropriate antibiotics and developed confusion and disorientation. Lumbar puncture revealed lymphocytosis with high protein and low glucose. MRI showed diffuse demyelination. Pulse steroids resulted in rapid clinical, biochemical and radiological recovery.

  • meningitis
  • medical management
  • infection (neurology)
  • exposures
  • disease and health outcomes

http://dx.doi.org/10.1136/bcr-2019-233798

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    Footnotes

    • Twitter @zohaibyousaf17

    • Contributors FA: literature review, case writing, clinical follow-up; ZY: case write-up and discussion; MKS: case identification and literature review; AA: image selection for pretreatment and post-treatment images.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.