Title of article
Case Report: Fever and Psychosis as an Early Presentation of Brucella-Associated Meningoencephalitis
Author/Authors
Montazeri, Mahnaz tehran university of medical sciences tums - Imam Khomeini Hospital Complex - Department of Infectious Diseases, تهران, ايران , Sadeghi, Kourosh tehran university of medical sciences tums - Department of Clinical Pharmacy, تهران, ايران , Khalili, Hosein tehran university of medical sciences tums - Department of Clinical Pharmacy, تهران, ايران , Davoudi, Setareh tehran university of medical sciences tums - Imam Khomeini Hospital Complex - Department of Infectious Diseases, تهران, ايران
From page
506
To page
509
Abstract
Objective: To describe a case with Brucella-associated meningoencephalitis. In addition, we report drug-induced hepatotoxicity due to acyclovir. Clinical Presentation and Intervention: A young woman was admitted with fever and psychosis and neuroimaging findings indicative of meningoencephalitis. Serology was positive for Brucella. She was treated with doxycycline, rifampin, and trimethoprim-sulfamethoxazole. Conclusion: This case reminds physicians in endemic regions to consider neurobrucellosis as a differential diagnosis in patients with any unexplained neurologic symptoms or atypical psychosis. Early diagnosis and treatment of neurobrucellosis will be helpful in decreasing the sequelae of this complication.
Keywords
Brucellosis , Meningoencephalitis , Psychosis , Acyclovir , Hepatotoxicity
Journal title
Medical Principles and Practice
Journal title
Medical Principles and Practice
Record number
2575588
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