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Int J Prev Med. 2019 Jul 5;10:119. doi: 10.4103/ijpvm.IJPVM_417_18. eCollection 2019.

Anti-NMDA Receptor Encephalitis Presenting with Status Epilepticus: Brucellosis as a Possible Triggering Factor: A Case Report.

Author information

1
Department of Infectious Diseases, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
2
Department of Neurology, Kashani Hospital Epilepsy Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
3
Pars Advanced Medical Research Center, Pars Hospital, Tehran, Iran.

Abstract

Brucellosis is a common zoonotic infection caused by bacterial genus Brucella, a Gram-negative bacterium, and continued to be a health problem in endemic areas. Anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis is an autoimmune disease which can lead to status epilepticus. A 19-year-old male patient was referred to our hospital with status epilepticus. The diagnosis of brucellosis was confirmed about 2 weeks before. The brain magnetic resonance imaging was normal. Lumbar puncture was performed, and cerebral spinal fluid (CSF) was in normal limits. The patient was treated with antiepileptic, anti-brucellosis agents. Two weeks after discharge, the patient readmitted to hospital with status epilepticus again. Extensive workup was negative except that NMDAR antibodies were detected in serum and CSF. The diagnosis of anti-NMDAR encephalitis was established. Brucellosis as a triggering factor for NMDAR encephalitis should be considered.

KEYWORDS:

Anti-NMDA receptor; brucellosis; encephalitis; epilepsy; status epilepticus

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