La brucelosis en el diagnóstico diferencial de las meningitis asépticas: a propósito de un caso

Aseptic meningitis represents a diagnostic challenge for the clinician. Cytological and chemical parameters are key in the differential diagnosis. Hypoglycorrhachia is a strong predictor of a bacterial origin for aseptic meningitis. We report a 44-year-old male with a history of recurrent febrile he...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Campero,Mario, Espinoza,Ricardo, Silva,Carlos
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Brucellosis Headache Meningitis, Aseptic
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020001201844
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872020001201844
record_format	dspace
spelling	oai:scielo:S0034-988720200012018442021-04-04La brucelosis en el diagnóstico diferencial de las meningitis asépticas: a propósito de un casoCampero,MarioEspinoza,RicardoSilva,Carlos Brucellosis Headache Meningitis, Aseptic Aseptic meningitis represents a diagnostic challenge for the clinician. Cytological and chemical parameters are key in the differential diagnosis. Hypoglycorrhachia is a strong predictor of a bacterial origin for aseptic meningitis. We report a 44-year-old male with a history of recurrent febrile headaches admitted with fever and delirium. The initial cerebrospinal fluid (CSF) analysis showed low glucose levels. Magnetic resonance imaging did not show abnormalities. The patient was discharged but was admitted again three weeks later with fever, headache and a stiff neck. The CSF was inflammatory with low glucose levels. Serology for brucellosis was positive. The patient was treated with ceftriaxone and rifampicin with a good clinical response.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.12 20202020-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020001201844es10.4067/S0034-98872020001201844
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Brucellosis Headache Meningitis, Aseptic
spellingShingle	Brucellosis Headache Meningitis, Aseptic Campero,Mario Espinoza,Ricardo Silva,Carlos La brucelosis en el diagnóstico diferencial de las meningitis asépticas: a propósito de un caso
description	Aseptic meningitis represents a diagnostic challenge for the clinician. Cytological and chemical parameters are key in the differential diagnosis. Hypoglycorrhachia is a strong predictor of a bacterial origin for aseptic meningitis. We report a 44-year-old male with a history of recurrent febrile headaches admitted with fever and delirium. The initial cerebrospinal fluid (CSF) analysis showed low glucose levels. Magnetic resonance imaging did not show abnormalities. The patient was discharged but was admitted again three weeks later with fever, headache and a stiff neck. The CSF was inflammatory with low glucose levels. Serology for brucellosis was positive. The patient was treated with ceftriaxone and rifampicin with a good clinical response.
author	Campero,Mario Espinoza,Ricardo Silva,Carlos
author_facet	Campero,Mario Espinoza,Ricardo Silva,Carlos
author_sort	Campero,Mario
title	La brucelosis en el diagnóstico diferencial de las meningitis asépticas: a propósito de un caso
title_short	La brucelosis en el diagnóstico diferencial de las meningitis asépticas: a propósito de un caso
title_full	La brucelosis en el diagnóstico diferencial de las meningitis asépticas: a propósito de un caso
title_fullStr	La brucelosis en el diagnóstico diferencial de las meningitis asépticas: a propósito de un caso
title_full_unstemmed	La brucelosis en el diagnóstico diferencial de las meningitis asépticas: a propósito de un caso
title_sort	la brucelosis en el diagnóstico diferencial de las meningitis asépticas: a propósito de un caso
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020001201844
work_keys_str_mv	AT camperomario labrucelosiseneldiagnosticodiferencialdelasmeningitisasepticasapropositodeuncaso AT espinozaricardo labrucelosiseneldiagnosticodiferencialdelasmeningitisasepticasapropositodeuncaso AT silvacarlos labrucelosiseneldiagnosticodiferencialdelasmeningitisasepticasapropositodeuncaso
_version_	1718437174484926464

La brucelosis en el diagnóstico diferencial de las meningitis asépticas: a propósito de un caso

Ejemplares similares