2018
DOI: 10.1155/2018/9793535
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An Interesting Case of Neurobrucellosis Mimicking Neuropsychiatric Lupus

Abstract: This case describes a patient presenting with acute onset papilledema, subacute strokes resulting in upper extremity weakness and numbness, arthritis, maculopapular rash, depressed C4 and CH50, and a high titer anti-double-stranded DNA antibody. The patient was given the diagnosis of probable systemic lupus erythematosus, which was supported by the Systemic Lupus International Collaborating Clinics (SLICC) criteria. He was aggressively treated for neuropsychiatric lupus (NPSLE) with pulse dose steroids and a d… Show more

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Cited by 4 publications
(7 citation statements)
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References 17 publications
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“…The acute manifestations of brucellosis are sometimes unspecific and may mimic certain neurological and psychiatric conditions. 1 We have found in the literature approximately 18 case reports of brucellosis presented with psychosis. Similar to our case, there was a previously mentioned case report of brucellosis where the patient presented with abnormal behavior and hearing loss.…”
Section: Discussionmentioning
confidence: 99%
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“…The acute manifestations of brucellosis are sometimes unspecific and may mimic certain neurological and psychiatric conditions. 1 We have found in the literature approximately 18 case reports of brucellosis presented with psychosis. Similar to our case, there was a previously mentioned case report of brucellosis where the patient presented with abnormal behavior and hearing loss.…”
Section: Discussionmentioning
confidence: 99%
“…3 Neurobrucellosis occurs in 0.5-25% of brucellosis cases and affects the central or peripheral nervous systems with serious complications. 1 Various presentations of neurobrucellosis are encountered including psychiatric symptoms such as behavioral changes, psychosis, dementia, insomnia, restlessness and episodic crying and neurological manifestations such as meningitis, encephalitis, sensorial and motor abnormalities, polyradiculoneuritis, cranial nerve involvement, epilepsy, brain abscess, blurring of vision and optic neuritis, numbness, subarachnoid hemorrhage, and finally coma. 1,4 Psychosis as a presentation of neurobrucellosis is a very unusual condition.…”
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confidence: 99%
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