Clinical features of six patients with neurobrucellosis
10.3760/cma.j.cn115354-20200512-00360
- VernacularTitle:六例神经型布鲁菌病患者临床特点分析
- Author:
Lijun CHANG
1
;
Ting LI
;
Xiuli WANG
;
Fankun KONG
;
Zhiyong GUO
;
Yali MA
;
Shihong WU
Author Information
1. 山西省运城市中心医院感染科 044000
- Keywords:
Neurobrucellosis;
Clinical feature;
Rose bengal plate agglutination test;
Next-generation sequencing;
Cerebrospinal fluid
- From:
Chinese Journal of Neuromedicine
2021;20(1):71-75
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical characteristics of neurobrucellosis to improve the diagnoses and treatments of this disease.Methods:Six inpatients diagnosed with neurobrucellosis in our hospital from Junuary 2014 to December 2019 were chosen, and their epidemiological features, clinical manifestations, laboratory tests, treatments, and prognoses were analyzed.Results:Six patients were male, 2 had epidemiological history, one was with orchitis, one was with imaging abnormalities related to cerebral small vessel diseases; 3 patients had brucella malta in the cerebrospinal fluid and one had brucella malta in the blood; cerebrospinal fluid (CSF) rose bengal plate agglutination test was positive in 2 patients, and the next-generation sequencing results of CSF showed that they were brucella nucleic acid sequences. All 6 patients had good prognosis after antibiotic therapy.Conclusion:The clinical manifestations of neurological brucellosis are diverse; the combined application of cerebrospinal fluid culture, cerebrospinal fluid brucella agglutination test, and next-generation sequencing is of great value in the diagnosis of neurobrucellosis.
