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

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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.

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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。

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