11 research outputs found
Su1841 Increased Sucrose but Not Starch Intake Deteriorates Colitis and Reduces the Beneficial Effect of Prebiotics in a Rat Colitis Model
Mo1846 – Ulcerative Colitis (UC) Patients with Primary Sclerosing Cholangitis (PSC) Have Distinctive Serum Metabolomic Fingerprints Versus Uc Patients Without Psc
263 Fecal Microbial Transplantation Can Modulate Increased Colitis Susceptibility Induced by High Sugar Diets
An unusual presentation of brucellosis, involving multiple organ systems, with low agglutinating titers: a case report
<p>Abstract</p> <p>Background</p> <p>Brucellosis is a multi-system disease that may present with a broad spectrum of clinical manifestations. While hepatic involvement in brucellosis is not rare, it may rarely involve the kidney or display with cardiac manifestations. Central nervous system involvement in brucellosis sometimes can cause demyelinating syndromes. Here we present a case of brucella hepatitis, myocarditis, acute disseminated encephalomyelitis, and renal failure.</p> <p>Case presentation</p> <p>A 26-year-old man presented with fever, ataxia, and dysarthria. He was a shepherd and gave a history of low grade fever, chilly sensation, cold sweating, loss of appetite, arthralgia and 10 Kg weight loss during the previous 3 months. He had a body temperature of 39°C at the time of admission. On laboratory tests he had elevated level of liver enzymes, blood urea nitrogen, Creatinine, Creatine phosphokinase (MB), and moderate proteinuria. He also had abnormal echocardiography and brain MRI. Enzyme-linked immunosorbent assay for IgG and IgM was negative. Standard tube agglutination test (STAT) and 2-mercaptoethanol (2-ME) titers were 1:80 and 1:40 respectively. Finally he was diagnosed with brucellosis by positive blood culture and the polymerase chain reaction for Brucella mellitensis.</p> <p>Conclusion</p> <p>In endemic areas clinicians should consider brucellosis in any unusual presentation involving multiple organ systems, even if serology is inconclusive. In endemic areas low STAT and 2-ME titers should be considered as an indication of brucellosis and in these cases additional testing is recommended to rule out brucellosis.</p