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Acute febrile illness with choreoathetosis: a rare presentation of brucellosis
  1. Ashok Kumar Pannu,
  2. Gauri Jangpangi,
  3. Bharath Chhabria,
  4. Vikas Suri,
  5. Ashish Bhalla,
  6. Savita Kumari
  1. Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Bharath Chhabria, Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh 12, India; bharath6189{at}gmail.com

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Case description

A 15-year-old Indian girl presented with fever and involuntary movements of the limbs and face of about a weeks’ duration. These stereotypic choreoathetosis movements involved both upper limbs, lower limbs and face (figure 1A,B; video 1). No other neurological deficits were noted and cardiorespiratory, abdominal examinations were normal.

Figure 1

(A) Chorea of the tongue causing darting in and out movements (B) Involuntary, non-patterned and purposeless movements of upper limbs.

Video 1

Evaluation revealed bicytopenia with neutrophilic leucocytosis. Blood cultures were sterile and cerebrospinal fluid analysis was unremarkable including herpes simplex virus—PCR, Venereal …

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Footnotes

  • Contributors AKP: managed the patient, conceived the idea and drafted the manuscript. GJ: managed the patient and drafted the manuscript. BC: conceived the idea and revised the manuscript. VS, AB and SK: managed the patient and revised the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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