Multiple Schlerosis Case Study Essay

Neurobrucellosis In A Patient With Multiple Sclerosis; A Case Report

Abstract

Neurobrucellosis is a rare complication of brucellosis. Acute meningitis and encephalitis are the most common clinical manifestations, however symptoms of these two conditions may be subacute and diagnosis requires a high index of suspicion in patients from endemic areas. Diagnosis is often based on neurological symptoms, serology, and suggestive brain imaging because cerebrospinal fluid culture yields are low.
Herein we report a 30 year old female a known case of MS( Multiple Sclerosis) who presented with ataxia and agitation , in physical examination the patient had ataxic gait and decreased concentration, Brain MRI showed significant brain atrophy and
Complete blood count (CBC) showed lymph dominant leukocytosis. Wright test in CSF was positive. Accordingly Neurobrucellosis was considered as the cause.
Due to several of immunomodulating or immunosuppressive treatments in the patients with MS, and Chronic suppression of cell-mediated immunity these patients may be more prone to infections. So in such patient careful evaluation of clinical finding are of great
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