Author/Editor		Bombek, Maja; Trampuž, Andrej
Title		38-letna ljubiteljica sira s sumom na možganski vaskulitis
Translated title		38-year-old cheese-lower with suspected cerebral vasculitis
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 72, št. 7-8
Publication year		2003
Volume		str. 423-7
Language		slo
Abstract		Background. This study presents a 38 year-old patient who presented with a few weeks lasting headache, double vision, neck pain, nausea and vomiting, paresthesiae of her face and arms and aphasia. Patientš physical and neurological examination on admission was unremarkable. Results. Cerebrospinal fluid findings showed a lymphocytic pleocytosis and increased protein concentration with presence of oligoclonal banding. Magnetic resonance imaging of the head showed multiple subcortical lesions. Conclusions. This study describes complications due to initial false diagnosis and discusses the differential diagnosis of chronic meningitis. As brucellosis usually presents in a very nonspecific manner, the diagnosis can be difficult. The primary pitfall is failure to consider possible infection with Brucella in a patient with history that suggests a possible source of infection. Therefore, a detailed history and knowledge of the patient exposures in the recent past is essential.
Summary		Izhodišča. Opisana je 38-letna bolnica, ki je ob sprejemu navajala nekaj tednov trajajoči glavobol, dvojni vid, bolečine v vratu, nenadno slabost in bruhanje, parestezije po obrazu in rokah in afazijo. Klinični in nevrološki pregled ob sprejemu nista pokazala posebnosti. Rezultati. V cerebrospinalni tekočini je bila prisotna limfocitna pleocitoza in povišana vrednost beljakovin s prisotnostjo oligoklonalnih pasov. Na magnetnoresonančni sliki glave so bila vidna številna žarišča pod možgansko skorjo. Zaključki. Članek opisuje zaplete zaradi napačne prvotne diagnoze ter diferencialno diagnozo kroničnega meningitisa. Ker se bruceloza navadno kaže zelo nespecifično, je postavitev diagnoze lahko težavna. Glavni vzrok za spregledano diagnozo je neupoštevanje možnosti okužbe z brucelo pri bolniku, katerega anamnestični podatki kažejo na možen vir okužbe. Zato so natančna anamneza in podatki o bolnikovi izpostavljenosti v bližnji preteklosti ključnega pomena.
Descriptors		MENINGITIS ADULT DIAGNOSIS, DIFFERENTIAL CHEESE FOOD HYPERSENSITIVITY BRUCELLOSIS