A quadriplegic child with multiple brain abscesses: case report of neurobrucellosis.
BACKGROUND
This report presents a child with spinal cord lesion with concomitant multiple brain abscesses caused by brucellosis.


METHODS
A 12-year-old boy was admitted with quadriplegia accompanied by back pain, headache, nausea, and incontinence which appeared six months before. MRI revealed multiple brain abscesses as well as spinal intramedullary lesions. The diagnosis of brucellosis was established by positive serum Wright test (1:2560) and 2-mercaptoethanol agglutination titer (1:2560), history of exposure, and gradual improvement in response to treatment (rifampin, trimethoprim/sulfamethoxazole, gentamicin, and prednisolone).


CONCLUSIONS
Neurobrucellosis may present with uncommon manifestations in children. Physicians should consider this in the differential diagnosis of a child with quadriplegia.
Keihani-Douste
Zarrin
Z
Department of Pediatrics, Imam Khomeini Hospital, Tehran University of Medical Sciences, Iran.
Daneshjou
Khadijeh
K
Ghasemi
Mehdi
M
D001922:Brain Abscess / Q000150:complications* / Q000175:diagnosis; D002006:Brucellosis / Q000150:complications* / Q000175:diagnosis; D020806:Central Nervous System Bacterial Infections / Q000150:complications* / Q000175:diagnosis; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011782:Quadriplegia / Q000209:etiology*; D013118:Spinal Cord Diseases / Q000150:complications / Q000175:diagnosis