Neurobrucellosis and venous sinus thrombosis: an uncommon association

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.

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Main Authors: Lima,Joana Isabel da Silva, Canelas,Cátia Filipa Gomes, Veiga,Andreia Sofia de Sousa Botelho Trindade, Carvalho,Dina Maria Mota
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Medicina Tropical - SBMT 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822016000300383
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spelling oai:scielo:S0037-868220160003003832016-09-19Neurobrucellosis and venous sinus thrombosis: an uncommon associationLima,Joana Isabel da SilvaCanelas,Cátia Filipa GomesVeiga,Andreia Sofia de Sousa Botelho TrindadeCarvalho,Dina Maria Mota Brucellosis Sinus thrombosis Intracranial 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.info:eu-repo/semantics/openAccessSociedade Brasileira de Medicina Tropical - SBMTRevista da Sociedade Brasileira de Medicina Tropical v.49 n.3 20162016-06-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822016000300383en10.1590/0037-8682-0288-2015
institution SCIELO
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country Brasil
countrycode BR
component Revista
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databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Lima,Joana Isabel da Silva
Canelas,Cátia Filipa Gomes
Veiga,Andreia Sofia de Sousa Botelho Trindade
Carvalho,Dina Maria Mota
spellingShingle Lima,Joana Isabel da Silva
Canelas,Cátia Filipa Gomes
Veiga,Andreia Sofia de Sousa Botelho Trindade
Carvalho,Dina Maria Mota
Neurobrucellosis and venous sinus thrombosis: an uncommon association
author_facet Lima,Joana Isabel da Silva
Canelas,Cátia Filipa Gomes
Veiga,Andreia Sofia de Sousa Botelho Trindade
Carvalho,Dina Maria Mota
author_sort Lima,Joana Isabel da Silva
title Neurobrucellosis and venous sinus thrombosis: an uncommon association
title_short Neurobrucellosis and venous sinus thrombosis: an uncommon association
title_full Neurobrucellosis and venous sinus thrombosis: an uncommon association
title_fullStr Neurobrucellosis and venous sinus thrombosis: an uncommon association
title_full_unstemmed Neurobrucellosis and venous sinus thrombosis: an uncommon association
title_sort neurobrucellosis and venous sinus thrombosis: an uncommon association
description 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.
publisher Sociedade Brasileira de Medicina Tropical - SBMT
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822016000300383
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