title: Extensive meningoencephalitis, retrobulbar neuritis and pulmonary involvement in a patient of neurobrucellosis.
abstract: We report an unusual case of neurobrucellosis who presented with headache, vision loss, confusional state, retrobulbar neuritis and left hemiparesis. Neuroimaging studies showed features of ischemic infarct and white matter abnormalities. Pulmonary involvement in form of lobar pneumonia of left basal lobe was another unusual manifestation. Diagnosis was based on the rising titers of antibrucella antibody. Patient showed remarkable improvement on triple drug therapy in form of doxycycline, rifampicin and streptomycin.
authors.affiliation: Department of Neurology, King George Medical University, Lucknow - 226 003, India.
authors.forename: Prianka
authors.initials: P
authors.lastname: Vinod
authors.forename: Maneesh Kumar
authors.initials: MK
authors.lastname: Singh
authors.forename: Ravindra Kumar
authors.initials: RK
authors.lastname: Garg
authors.forename: Atul
authors.initials: A
authors.lastname: Agarwal
mesh_terms: D000907:Antibodies, Bacterial / Q000032:analysis; D002006:Brucellosis / Q000150:complications*; D002494:Central Nervous System Infections / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008590:Meningoencephalitis / Q000209:etiology*; D008875:Middle Aged; D009902:Optic Neuritis / Q000209:etiology*; D018410:Pneumonia, Bacterial / Q000150:complications / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
chemical_list: D000907:Antibodies, Bacterial