Brucella Shunt Infection as a Rare Presentation of Neurobrucellosis

Brucellosis, as a systemic infection with potential to involving virtually all organ systems, is an endemic zoonosis in Iran. This is the history of a 17-year-old boy with a ventriculoperitoneal (VP) shunt who presented with prolonged fever, constipation, and abdominal pain. Laboratory studies, incl...

Full description

Saved in:
Bibliographic Details
Published in:Case reports in infectious diseases 2019-01, Vol.2019 (2019), p.1-3
Main Authors: Mehrabian, Fatemeh, Ahmadinejad, Zahra, Abdi Layaee, Zahra
Format: Article
Language:English
Subjects:
Abdomen
Antibiotics
Brucellosis
Case Report
Case reports
Cerebral palsy
Constipation
Cysts
Fever
Glucose
Hospitals
Infections
Infectious diseases
Laboratories
Meningitis
Microbiology
Pain
Proteins
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Brucellosis, as a systemic infection with potential to involving virtually all organ systems, is an endemic zoonosis in Iran. This is the history of a 17-year-old boy with a ventriculoperitoneal (VP) shunt who presented with prolonged fever, constipation, and abdominal pain. Laboratory studies, including cerebrospinal fluid (CSF) and blood tests, revealed a VP shunt infection with Brucella spp. We treated the patient with rifampicin, trimethoprim-sulfamethoxazole (cotrimoxazole), and ceftriaxone. Also, the shunt was temporarily replaced with an extraventricular drain until the CSF culture was sterile and a new permanent VP shunt could be inserted. We report this case to underline the diagnostic possibility of brucellosis in every case of protracted fever of unknown origin (FUO), irrespective of accompanying signs and symptoms.
ISSN:2090-6625
2090-6633
DOI:10.1155/2019/7291482