A Rare Presentation of Neurobrucellosis in a 6-Year-Old Pediatric Patient with Sagittal Sinus Thrombosis
| Autor: | Tolga Turan Dundar, Can Yilmaz Yozgat, Mehmet Hakan Seyithanoglu, Nurettin Onur Kutlu, Ozden Turel, Fatouma Khalif Abdillah, Selcuk Uzuner, Burcu Bursal Duramaz, Osman Yeşilbaş |
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| Přispěvatelé: | BURSAL DURAMAZ, BURCU |
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty 030106 microbiology Neuritis Myelitis Sagittal Sinus Thrombosis Neurological examination Intensive Care Units Pediatric Brucellosis 03 medical and health sciences 0302 clinical medicine Central Nervous System Bacterial Infections medicine Humans Child Intracranial pressure medicine.diagnostic_test business.industry General Medicine medicine.disease Magnetic Resonance Imaging Thrombosis Surgery Pediatrics Perinatology and Child Health TÜREL Ö. Abdillah F. K. Yozgat C. Y. UZUNER S. BURSAL DURAMAZ B. DÜNDAR T. T. SEYİTHANOĞLU M. H. YEŞİLBAŞ O. KUTLU N. O. -A Rare Presentation of Neurobrucellosis in a 6-Year-Old Pediatric Patient with Sagittal Sinus Thrombosis- NEUROPEDIATRICS 2020 Female Neurology (clinical) Intracranial Hypertension business Meningitis Craniotomy 030217 neurology & neurosurgery Superior sagittal sinus |
| Zdroj: | Neuropediatrics. 52:048-051 |
| ISSN: | 1439-1899 0174-304X |
| Popis: | Brucellosis is one of the most common zoonosis worldwide. It is still endemic in many regions of the world. A 6-year-old female was admitted to the emergency department (ED) due to a sudden change in consciousness, urinary incontinence, vomiting, and difficulty in walking. Neurological examination demonstrated abducens nerve paralysis, mild-to-moderate motor deficit in hemiparesis in the left arm. Brain magnetic resonance imaging showed a hemorrhagic focus at the right frontal lobe and thrombosis in the superior sagittal sinus of the brain. The diagnosis of neurobrucellosis was confirmed by identifying Brucella spp. in the blood culture on the day 6 of pediatric intensive care unit admission; thus, trimethoprim-sulfamethoxazole and rifampicin, and ceftriaxone were promptly initiated. Despite neuroprotective management and acetazolamide, the patient's neurological problems and high intracranial pressure (ICP) persisted. An external ventricular drainage tube and a Codman ICP monitor were placed to be on the consent vigilance of the patient's neurological condition. The patient's ICP continued to increase despite the current treatment regimen; therefore, a decompressive bitemporal craniectomy was performed. The ICP level of the patient returned to its normal range immediately after the craniectomy. The patient did not have any notable neurologic sequelae at the first-year follow-up. Neurobrucellosis is a rare complication of systemic brucellosis and may present as meningitis, encephalitis, myelitis, radiculitis, and/or neuritis. Herein, we describe a six-year-old girl with brucellosis complicated with cerebral vein thrombosis. This case illustrates the need for close monitoring of patients with unexplained neurological signs or symptoms for brucellosis in endemic areas. |
| Databáze: | OpenAIRE |
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