Méningo-encéphalite à Bartonella quintana chez un sujet immunocompétent : une observation rare

Pathologie-biologie Pub Date : 2014-12-01 DOI:10.1016/j.patbio.2014.06.001

I. Kooli, C. Loussaief, H. Ben Brahim, A. Aouem, A. Toumi, M. Chakroun

{"title":"Méningo-encéphalite à Bartonella quintana chez un sujet immunocompétent : une observation rare","authors":"I. Kooli, C. Loussaief, H. Ben Brahim, A. Aouem, A. Toumi, M. Chakroun","doi":"10.1016/j.patbio.2014.06.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p><em>Bartonella quintana</em> (<em>Bq</em>) is responsible of various clinical pictures. Neuromeningeal complications are rarely reported.</p></div><div><h3>Case</h3><p>A 20-year-old woman was admitted for fever, headache lasting for 5 days. On admission, she was febrile at 39.3°C and had a stiff neck. Symptoms, contact with animals, biological tests and lumbar puncture (PL) rendered viral meningitis a likely diagnosis. She had received symptomatic treatment and the outcome was favorable. Three days later, the patient had headache, agitation and confusion with fever. The PL noted 130/mm<sup>3</sup> whites, 90% lymphocytes. The albuminorachie was 0.98 g/L, glucorachie was normal. The patient was treated with 400 mg of ofloxacine/day, seven days. Serologic tests for <em>B. quintana</em> were reactive. The outcome was favorable.</p></div><div><h3>Conclusion</h3><p><em>B. quintana</em> infection should be considered in neurological symptoms of unknown etiology.</p></div>","PeriodicalId":19743,"journal":{"name":"Pathologie-biologie","volume":"62 6","pages":"Pages 342-344"},"PeriodicalIF":0.0000,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.patbio.2014.06.001","citationCount":"4","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pathologie-biologie","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S036981141400114X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 4

Abstract

Introduction

Bartonella quintana (Bq) is responsible of various clinical pictures. Neuromeningeal complications are rarely reported.

Case

A 20-year-old woman was admitted for fever, headache lasting for 5 days. On admission, she was febrile at 39.3 °C and had a stiff neck. Symptoms, contact with animals, biological tests and lumbar puncture (PL) rendered viral meningitis a likely diagnosis. She had received symptomatic treatment and the outcome was favorable. Three days later, the patient had headache, agitation and confusion with fever. The PL noted 130/mm³ whites, 90% lymphocytes. The albuminorachie was 0.98 g/L, glucorachie was normal. The patient was treated with 400 mg of ofloxacine/day, seven days. Serologic tests for B. quintana were reactive. The outcome was favorable.

Conclusion

B. quintana infection should be considered in neurological symptoms of unknown etiology.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

免疫能力受试者的昆塔纳巴尔通体脑膜炎脑炎:罕见观察

简介:金氏巴尔通体(bartonella quintana, Bq)是多种临床图片的来源。神经-脑膜并发症很少报道。病例女，20岁，因发热、头痛5天入院。入院时，患者发热39.3℃，颈部僵硬。症状、与动物的接触、生物试验和腰椎穿刺(PL)表明病毒性脑膜炎是一种可能的诊断。经对症治疗，疗效良好。三天后，患者出现头痛、躁动和发热。白细胞130/mm3，淋巴细胞90%。白蛋白0.98 g/L，葡萄糖正常。患者给予氟氯沙星400 mg /天，连用7天。血清学检测呈阳性。结果是令人满意的。在病因不明的神经症状中应考虑金塔纳感染。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊