Isolated intracranial hypertension: a rare presentation of neurobrucellosis.
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.
Ozisik
Handan Isin
HI
Research Hospital, Turgut Ozal Medical Center, Inonu University Medical Faculty, TR-44330 Malatya, Turkey. handanisin@yahoo.com
Ersoy
Yasemin
Y
Refik Tevfik
Mehmet
M
Kizkin
Sibel
S
Ozcan
Cemal
C
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
D003470:Culture Media