title: Neurobrucellosis Presented with a Hyperacute Onset: A Case Report.
abstract: Neurobrucellosis is uncommon; however, it is an important complication of brucellosis, which could be seen in any stage of the disease. It presents with different kinds of neurology manifestations and diagnosis is mainly made on history, physical examination and laboratory tests. The clinical course of the disease is relatively insidious and the most common pattern of presentation is subacute or chronic. It has a long-term treatment period and its response to treatment is slow. Here, we report a case of an apparent healthy 25 yr-old Afghani woman from Fars Province (south of Iran) that presented at first with hyperacute onset of headache and abnormal behavior and diagnosed neurobrucellosis in Nov 2015. In endemic areas, neurobrucellosis should be considered for each patient referred with unexplained neurological problems.
authors.affiliation: Dept. of Neurology, Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Arefeh
authors.initials: A
authors.lastname: Khademi
authors.affiliation: Clinical Neurology Research Center, Dept. of Neurology, Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Poursadeghfard
authors.affiliation: Dept. of Emergency Medicine, Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Reza
authors.initials: R
authors.lastname: Nikandish Noubar
keywords: Hyperacute onset; Iran; Neurobrocellosis; Neurologic manifestation