Epidemiological, clinical, and laboratory features of brucellar meningitis: A study of 39 cases

Hosein Hatami; Mariam Hatami; Hamid Souri; Alireza Janbakhsh; Feizollah Mansouri

Journal of Kermanshah University of Medical Sciences

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Epidemiological, clinical, and laboratory features of brucellar meningitis: A study of 39 cases

Author(s):

Hosein Hatami^1,*,

Mariam Hatami²,

Hamid Souri³,

Alireza Janbakhsh⁴,

Feizollah Mansouri⁴

1Dept. of Public Health, School of Health, Shahid Beheshti University fo Medical Sciences, Tehran, Iran

2Firoozkoh Health and treatment Center, Shahid Beheshti University fo Medical Sciences, Tehran, Iran

3Dept. of Epidemiology, School of Health, Shahid Beheshti University fo Medical Sciences, Tehran, Iran

4Dept. of Infectious diseases, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

Journal of Kermanshah University of Medical Sciences:Vol. 14, issue 1; e79544

Published online:Jun 19, 2010

Article type:Research Article

Received:Oct 10, 2009

Accepted:Mar 02, 2010

How to Cite:Hosein HatamiMariam HatamiHamid SouriAlireza JanbakhshFeizollah MansouriEpidemiological, clinical, and laboratory features of brucellar meningitis: A study of 39 cases.J Kermanshah Univ Med Sci.14(1):e79544.

Abstract

Background: Although one of the most serious mononuclear meningitis is tuberculosis and the most prevalent one is viral meningitis, but the most treatable one is brucellar meningitis.

Methods: In this cross sectional study we considered documents of 39 patients who have been diagnosed during 1988-2005. Patients were confirmed using positive agglutination tests of serum, spinal fluid or positive culture of blood, bone marrow and spinal fluid tests.

Results: 64% of patients were female and 36% were male with average age of 26.9 years old. Patients major complain were: Headache (95%), vomiting (77%), fatigue (39%), myalgia (15%), cough (15%), movement disorders (15%), arthralgia (13%). Main clinical findings were; nuchal rigidity (74%), splenomegaly (49%), kernig’s (41%), and brudzinski’s signs (39%). Wright agglutination test with titer of 1:160 to 1:1280 in all patients’ serums, CSF Wright test or coombs wright test in half of them and blood, bone marrow and CFS culture in %60 were positive.

Conclusion: Epidemiological aspects as like as age, sex and seasonal distributions were somehow like systemic brucellosis. Sex distribution of patients was different from most other studies and seasonal distribution of the disease did not follow the seasonal distribution of systemic brucellosis but clinical or laboratory findings were so similar to Turkey and other studies in Iran. The definite response, without complication and recurrence, was achieved with co-trimoxazole plus rifampin and sometimes adding streptomycin, for
45–60 days which attracts more attention than most other studies and we recommend this regimen as a choice therapy.

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