title: Tricky brucellosis.
abstract: We present a 23-year-old woman who was admitted due to fever, palpitation, musculoskeletal pain and a transient bout of sudden-onset left-sided hemiparesis. She had also myopericarditis according to echocardiography findings. After comprehensive diagnostic work-up for infectious and immunologic disorders, brucellosis was confirmed by bone marrow aspiration culture. She received doxycycline, rifampin and trimethoprim-sulfamethoxazole for 3 months. The treatment was continued with doxycycline and rifampin for another 6 months. By the end of treatment, she recovered completely with no evidence of persistent neurological or cardiac complications.
authors.affiliation: Department of Infectious Diseases, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
authors.forename: Mojtaba Hedayat
authors.initials: MH
authors.lastname: Yaghoobi
authors.forename: Bahaoddin
authors.initials: B
authors.lastname: Siroos
authors.forename: Morteza
authors.initials: M
authors.lastname: Foroumandi
authors.forename: Mehrnaz Asadi
authors.initials: MA
authors.lastname: Gharabaghi
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D002006:Brucellosis / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000008:administration & dosage / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D012293:Rifampin / Q000008:administration & dosage / Q000627:therapeutic use; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000008:administration & dosage / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D004318:Doxycycline; D012293:Rifampin