title: Abducent nerve palsy during treatment of brucellosis.
abstract: Brucellosis is an infectious disease with multisystem involvement caused by the genus Brucella. Neurological complications including meningitis, meningoencephalitis, myelitis-radiculoneuritis, brain abscess, epidural abscess, and meningovascular syndromes are rarely encountered. We present here a patient with sixth cranial nerve palsy that occurred during treatment for brucellosis, a form of presentation rarely been reported in English-language literature. We conclude that neurobrucellosis, pseudotumor cerebri, and side effects of tetracyclines which are frequently used in brucellosis should be kept in mind when considering intractable headaches and cranial nerve palsies in patients with brucellosis.
authors.affiliation: Infectious Diseases and Clinical Microbiology Department, Cerrahpasa Medical Faculty, Istanbul University, 34303 Aksaray, Istanbul, Turkey. mesutmd@hotmail.com
authors.forename: Mesut
authors.initials: M
authors.lastname: Yilmaz
authors.forename: Resat
authors.initials: R
authors.lastname: Ozaras
authors.forename: Ali
authors.initials: A
authors.lastname: Mert
authors.forename: Recep
authors.initials: R
authors.lastname: Ozturk
authors.forename: Fehmi
authors.initials: F
authors.lastname: Tabak
mesh_terms: D020434:Abducens Nerve Diseases / Q000209:etiology*; D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000009:adverse effects / Q000627:therapeutic use; D002006:Brucellosis / Q000150:complications* / Q000188:drug therapy; D004318:Doxycycline / Q000009:adverse effects / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008775:Methylprednisolone / Q000627:therapeutic use; D011559:Pseudotumor Cerebri / Q000209:etiology; D012293:Rifampin / Q000627:therapeutic use; D013307:Streptomycin / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D004318:Doxycycline; D012293:Rifampin; D008775:Methylprednisolone; D013307:Streptomycin