1. Neurobrucellosis and venous sinus thrombosis: an uncommon association.
- Author
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Lima JI, Canelas CF, Veiga AS, and Carvalho DM
- Subjects
- Adult, Anti-Bacterial Agents therapeutic use, Brucellosis diagnosis, Brucellosis drug therapy, Doxycycline therapeutic use, Female, Humans, Rifampin therapeutic use, Sinus Thrombosis, Intracranial diagnosis, Sinus Thrombosis, Intracranial drug therapy, Brucellosis complications, Sinus Thrombosis, Intracranial microbiology
- Abstract
Brucellosis is a commonly diagnosed zoonosis and neurological involvement is rare. A 30-year-old woman presented with a pulsatile headache that was exacerbated by the Valsalva maneuver and refractory to analgesic therapy. The patient also had nausea, cough, and coryza that evolved over 7 days. The neurological examination was unremarkable. Thrombosis of the lateral and sigmoid sinus and ipsilateral internal jugular vein were diagnosed and anticoagulation therapy was started. Brucella spp was identified in a sample of cerebrospinal fluid (CSF); five months after treatment with rifampicin and doxycycline, CSF was sterile. Cerebral venous thrombosis is a very uncommon sign of brucellosis.
- Published
- 2016
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