Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Neurological Sciences
Published in: Neurological Sciences 4/2020

01-04-2020 | Stroke | Letter to the Editor

Acute ischemic stroke due to endocarditis from Brucella infection

Authors: Amelia Brigandi’, Carmen Terranova, Antonio Toscano, Giuseppe Vita

Published in: Neurological Sciences | Issue 4/2020

Login to get access

Excerpt

Brucellosis is a zoonotic disease which could be transmitted from animals to humans, mainly in Mediterranean basin countries [1], often after the ingestion of meals containing not perfectly sterilized dairy products. High fever, myalgia, and arthralgia of the large joints are the principal symptoms [2]. Neurological complications are quite serious and occur in about 10% of cases. The most common presentations are acute or chronic meningoencephalitis, peripheral or cranial neuropathies, or cerebellar dysfunction. Endocarditis is seen in < 2% of cases. Aortic valve is often affected [3]. Stroke occurs in about 35% of cases of infective endocarditis [4], mostly based on septic brain embolization. …
Literature
1.
Pappas G, Papadimitriou P, Akritidis N, Christou L, Tsianos EV (2006) The new global map of human brucellosis. Lancet Infect Dis 6:91–99CrossRef
2.
Dean AS, Crump L, Greter H, Hattendorf J, Schelling E, Zinsstag J (2012) Clinical manifestations of human brucellosis: a systematic review and meta-analysis. PLoS Negl Trop Dis 6:e1929CrossRef
3.
Pannu AK, Suri V, Kumar M, Rao YR, Kumari S, Varma S (2017) Brucellosis: myriad ways of presentation. Int J Med 110(10):667–668
4.
Jiad E, Gill SK, Krutikov M et al (2017) When the heart rules the head: ischaemic stroke and intracerebral haemorrhage complicating infective endocarditis. Pract Neurol 17:28–34CrossRef
5.
Pendela SV, Agrawal N, Mathew T, Vidyasagar S, Kudaravalli P (2017) An uncommon presentation of Brucella endocarditis masquerading as neurobrucellosis. J Clin Diagn Res 11(2):OD10–OD11PubMedPubMedCentral
6.
Bingöl A, Togay-Işikay C (2006) Neurobrucellosis as an exceptional cause of transient ischemic attacks. Eur J Neurol 13(5):544–548CrossRef
7.
Young EJ (1995) An overview of human brucellosis. Clin Infect Dis 21:283–289 quiz, 290CrossRef
8.
Jacobs F, Abramowicz P, Vereerstraeten P, LeClerc JL, Zech F, Thys JP (1990) Brucella endocarditis: the role of combined medical and surgical treatment. Rev Infect Dis 12:740–744CrossRef
Metadata
Title
Acute ischemic stroke due to endocarditis from Brucella infection
Authors
Amelia Brigandi’
Carmen Terranova
Antonio Toscano
Giuseppe Vita
Publication date
01-04-2020
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 4/2020
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-019-04085-x

Other articles of this Issue 4/2020

Neurological Sciences 4/2020 Go to the issue

Original Article

Integrated care pathways on dementia in Italy: a survey testing the compliance with a national guidance

Letter to the Editor

Obituary

Letter to the Editor

Toxocara infection in Italian myelitis

Original Article

ALS Cognitive Behavioral Screen (ALS-CBS): normative values for the Italian population and clinical usability

Original Article

Improving motor performance in Parkinson’s disease: a preliminary study on the promising use of the computer assisted virtual reality environment (CAREN)

Original Article

Functional gait disorders, clinical phenomenology, and classification