The Teaching Point

Neurobrucellosis is a serious complication of brucellosis and despite its rarity it should be suspected with almost any neurologic sign, especially in endemic areas. The clinical and radiological presentations of the disease are extremely diverse and tend to mimic a variety of other conditions, especially TB meningoencephalitis. Hence it is important that brucellosis would be suspected and the history of unpasteurized dairy product consumption would be sought to make early diagnosis by the means of brucella serologic tests.






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Neurobrucellosis in a 9-year-old girl

Free full text article: Neurobrucellosis in a 9-year-old girl

Abstract
Brucellosis is a zoonotic multi-organ infectious disease most frequent in developing countries. Neurobrucellosis a quite rare but serious complication of brucellosis in the pediatric age group manifests with different neurological symptoms and signs. In the present case a 9-year-old girl was referred to our centre with a 9-months history of headache and back pain, facial nerve palsy and right upper limb weakness. She had undergone ventriculoperitoneal shunting surgery due to communicating hydrocephalus. Magnetic resonance imaging revealed a spinal extramedullary intradural mass, two epidural collections in the cervical spine and thickening/abnormal enhancement in the basal cisterns with invasion to medulla and pons. The patient`s serum and cerebrospinal serologic tests were found positive for brucellosis. The patient was successfully treated by anti-brucella antibiotic therapy.






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