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A Rare Presentation of Neurobrucellosis in a 6-Year-Old Pediatric Patient with Sagittal Sinus Thrombosis

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dc.contributor.authorTÜREL, Özden
dc.contributor.authorKUTLU, NURETTİN ONUR
dc.contributor.authorYEŞİLBAŞ, Osman
dc.contributor.authorYozgat, Can Yilmaz
dc.contributor.authorDÜNDAR, TOLGA TURAN
dc.contributor.authorBURSAL DURAMAZ, BURCU
dc.contributor.authorUZUNER, SELÇUK
dc.contributor.authorABDİLLAHİ, FATOUMA KHALİF
dc.contributor.institutionauthorTÜREL, ÖZDEN
dc.contributor.institutionauthorUZUNER, SELÇUK
dc.contributor.institutionauthorBURSAL DURAMAZ, BURCU
dc.contributor.institutionauthorDÜNDAR, TOLGA TURAN
dc.contributor.institutionauthorSEYİTHANOĞLU, MEHMET HAKAN
dc.contributor.institutionauthorYEŞİLBAŞ, OSMAN
dc.contributor.institutionauthorKUTLU, NURETTİN ONUR
dc.date.accessioned2020-11-11T22:14:02Z
dc.date.available2020-11-11T22:14:02Z
dc.date.issued2020-10-01T00:00:00Z
dc.description.abstractBrucellosis 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.
dc.identifier.citationTÜREL 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
dc.identifier.doi10.1055/s-0040-1715482
dc.identifier.pubmed33017853
dc.identifier.scopus85092698772
dc.identifier.urihttp://hdl.handle.net/20.500.12645/27375
dc.identifier.wosWOS:000575591600001
dc.titleA Rare Presentation of Neurobrucellosis in a 6-Year-Old Pediatric Patient with Sagittal Sinus Thrombosis
dc.typeArticle
dspace.entity.typePublication
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