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Brucella Polyradiculoneuritis

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Neurobrucellosis

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Abstract

Brucella polyradiculopathy is a rare manifestation of neurobrucellosis. Polyradiculopathy usually gradually progress and cause numbness and muscle weakness in extremities. Patients may present with pain, sensory abnormality, weakness of the extremities, and gate abnormality. Neurobrucellosis is diagnosed according to signs and symptoms, using laboratory tests including serology and imaging. Magnetic resonance imaging with gadolinium injection usually shows enhancement of lumbar nerve roots in Brucella polyradiculopathy. For confirmation of polyradiculopathy, nerve conduction studies and electromyography examination are used. Treatment of Brucella polyradiculopathy is not different from that of neurobrucellosis. The most common medications used for the treatment are rifampicin, trimethoprim-sulfamethoxazole, doxycycline, ceftriaxone, ciprofloxacin, and streptomycin. Clinical features of the patients guide the physician for duration of treatment. Prompt diagnosis without delay in treatment is associated with fewer sequelae and excellent prognosis.

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Abbreviations

CNS:

Central nervous system

CSF:

Cerebrospinal fluid

EMG:

Electromyography

MRI:

Magnetic resonance imaging

NCV:

Nerve conduction velocity

PNS:

Peripheral nervous system

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Author information

Authors and Affiliations

  1. Department of Infectious Diseases, Bushehr University of Medical Sciences, Bushehr, Iran

    Farhad Abbasi MD

  2. Department of Internal Medicine, Bushehr University of Medical Sciences, Bushehr, Iran

    Soolmaz Korooni MD

  3. Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey

    Ahmet Tuncay Turgut MD

Authors
  1. Farhad Abbasi MD
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  2. Soolmaz Korooni MD
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  3. Ahmet Tuncay Turgut MD
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Corresponding author

Correspondence to Farhad Abbasi MD .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Adnan Menderes University School of Medicine, Aydin, Turkey

    Mehmet Turgut

  2. Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon

    Fuad Sami Haddad

  3. School of Medicine and Surgery, University of Naples Federico II School of Medicine and Surgery, Naples, Italy

    Oreste de Divitiis

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Abbasi, F., Korooni, S., Turgut, A.T. (2016). Brucella Polyradiculoneuritis. In: Turgut, M., Haddad, F., de Divitiis, O. (eds) Neurobrucellosis. Springer, Cham. https://doi.org/10.1007/978-3-319-24639-0_17

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  • DOI: https://doi.org/10.1007/978-3-319-24639-0_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24637-6

  • Online ISBN: 978-3-319-24639-0

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