title: Isolated intracranial hypertension: a rare presentation of neurobrucellosis.
abstract: Brucella melitensis infection is endemic in the eastern and south-eastern Anatolia regions of Turkey. We report an unusual case of brucella meningitis presenting with bilateral papilla stasis, diplopia and absence of other neurological involvement. Diagnosis was made by positive culture of Brucella spp. with a BACTEC 9120 system with inoculation of the patient's cerebrospinal fluid (CSF). This is the first report of isolation of Brucella spp. from CSF on a BACTEC 9120 system for diagnosis of meningitis. This case demonstrated that brucella meningitis may present with very slight symptoms, and inoculation of CSF into BACTEC bottle besides conventional cultures improves the detection of Brucella in endemic areas such as Turkey.
authors.affiliation: Research Hospital, Turgut Ozal Medical Center, Inonu University Medical Faculty, TR-44330 Malatya, Turkey. handanisin@yahoo.com
authors.forename: Handan Isin
authors.initials: HI
authors.lastname: Ozisik
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Ersoy
authors.forename: Mehmet
authors.initials: M
authors.lastname: Refik Tevfik
authors.forename: Sibel
authors.initials: S
authors.lastname: Kizkin
authors.forename: Cemal
authors.initials: C
authors.lastname: Ozcan
mesh_terms: D000328:Adult; D002002:Brucella / Q000302:isolation & purification*; D002006:Brucellosis / Q000382:microbiology / Q000503:physiopathology; D020806:Central Nervous System Bacterial Infections / Q000503:physiopathology*; D002555:Cerebrospinal Fluid / Q000382:microbiology; D003470:Culture Media; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension
chemical_list: D003470:Culture Media