1. Seronegative neurobrucellosis—do we need new neurobrucellosis criteria?
- Author
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Vassilis E. Papadopoulos, Kostas Patas, Argyro Tountopoulou, Georgios Velonakis, Fotini Boufidou, Stylianos Chatzipanagiotou, and Sofia Vassilopoulou
- Subjects
Brucellosis ,Agglutination tests ,Oligoclonal bands ,RNA, ribosomal, 16S ,Infectious and parasitic diseases ,RC109-216 - Abstract
Neurobrucellosis presents in various clinical forms and should always be considered in neurological patients in highly endemic areas such as the Mediterranean basin. Establishing a diagnosis can be challenging since serological testing can sometimes yield negative results. We present a rare case of a seronegative relapse of neurobrucellosis in a patient who had been successfully treated for systemic brucellosis. Oligoclonal bands, an agglutination test, and 16S rRNA sequencing of cerebrospinal fluid proved essential in unmasking a confined central nervous system relapse. This case reinforces the need for establishing diagnostic criteria for neurobrucellosis, which could potentially include oligoclonal bands and an agglutination test on the cerebrospinal fluid.
- Published
- 2021
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