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Background:
Brucellosis with different pictures is common in our country and should be noticed in high risk patients.
Archives of Clinical Infectious Diseases
Infectious Diseases and Tropical Medicine Research Center, SBUMS
Neurobrucellosis; A Case Report
Author(s):
1Department of Infectious Diseases and Tropical Medicine, Shahid Beheshti Medical University, Tehran, IR Iran
Published online:Oct 31, 2007
Article type:Case Report
How to Cite:Shoaei S, Nasri Razin B, Family A, Nabavi M. Neurobrucellosis; A Case Report. Arch Clin Infect Dis. 2007;2(4):. doi:
Abstract
Patient:
A 23 years old male farmer, presented with headache, vomiting, and tremor. Disease had begun 6 months ago with right side orchitis, fever, chills, then, gradually illness, weakness, tremor, anorexia, vomiting, nonproductive cough, retrosternal pain and dysphagia, blurred vision, generalized muscular rigidity and disability in daily activities were added. In physical exam illness, weakness, fever, wet skin, tremor, generalized muscular rigidity, papillary edema were detected. He had positive Wright test (1/1250) and lymphocytic pleocytosis in CSF. Three drug regimen and steroid (1 month) were administered and he responded well to this initial therapy, however, during his 3rd month follow up, he developed severe bilateral hearing loss unresponsive to steroids and 6 months later he had a self-limiting 20 hours left sided hemiparesis.
Conclusion:
Neurobrucellosis may present with parkinsonism (tremor and generalized muscular rigidity) and meningovascular involvement. This may even progress under 3 antibiotic regimen treatment.
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Copyright
© 2007, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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