Work

Neurobrucellosis presenting with the features of meningoencephalitis: A case report from Nepal

Year: 2022

Type: article

Abstract: Introduction and importance: Brucellosis or Malta fever is a zoonotic disease caused by the Brucella species. Patients with neurobrucellosis may present with features of meningoencephalitis. Thus, a high degree of suspicion is required for the diagnosis in the endemic region. Case presentation: A 13-year old female with a history of exposure to domestic animals presented with the features of meningoencephalitis (intermittent fever with chills and rigor and generalized tonic-clonic seizure). Clinical findings and investigations: Examination revealed drowsy and lethargic patient with bilateral edema up to mid-shin. Neck rigidity was present. Lab findings include leukocytosis with neutrophilic and erythrocyte sedimentation rate (25 mm/hr). CECT of the brain revealed vasogenic edema. Routine CSF examination was insignificant for common bacterial, viral, fungal or tubercular etiology. CSF ELISA confirmed the presence of Brucella antibody. Conclusion: When patients present with undulant fever, lethargy, seizure, or other features of meningitis/encephalitis, the diagnosis of neurobrucellosis must be considered after common pathological causes are ruled out.

Source: Annals of Medicine and Surgery

DOI: 10.1016/j.amsu.2022.104278

Authors: Aakash Acharya, Anil Regmi, Kabita Manandhar, Jayant Yaday, Pragya Karki

Institution: Annapurna Neurological Institute and Allied Sciences

Language: English

Topic: Brucella: diagnosis, epidemiology, treatment

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,850