A child with neurobrucellosis.
An 11-year-old boy presented with chronic meningitis followed by acute flaccid paralysis. The aetiology remained uncertain until the brucellar serology test became positive and there was a good response to specific antimicrobial therapy. Nerve conduction studies confirmed a proximal radiculopathy. Awareness of the condition and performance of the appropriate tests will differentiate neurobrucellosis from other chronic central nervous system infections.
Hesseling
A C
AC
Department of Paediatrics & Child Health, Faculty of Health Sciences, Stellenbosch University, Western Cape Province, South Africa. annekeh@sun.ac.za
Marais
B J
BJ
Cotton
M F
MF
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002006:Brucellosis / Q000150:complications* / Q000188:drug therapy; D020806:Central Nervous System Bacterial Infections / Q000150:complications* / Q000188:drug therapy; D002648:Child; D002908:Chronic Disease; D004318:Doxycycline / Q000627:therapeutic use; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000382:microbiology; D009431:Neural Conduction / Q000502:physiology; D010243:Paralysis / Q000382:microbiology; D011843:Radiculopathy / Q000209:etiology; D012293:Rifampin / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D004318:Doxycycline; D012293:Rifampin