[Brucellar meningitis complicated by aneurysmal subarachnoid hemorrhage].
BACKGROUND
Brucellosis is a rare disease in which neurological complications, and more particularly, intracranial aneurysmal hemorrhages were rarely reported.


METHODS
A brucellar meningitis was diagnosed in a 29-year-old man, who had been suffering from an unusual headache for about two months. Three days after beginning treatment, the patient developed an intracranial right frontal hemorrhage that led to the discovery of a ruptured anterior communicating artery aneurysm. The aneurysm was clipped surgically and doxycycline and rifampin were given for three months. The outcome was excellent.


CONCLUSIONS
Clinical manifestations of brucellosis are variable. Neurovascular complications are rare and probably linked to delay in diagnosis of CNS invasion or inadequate initial treatment. Appropriate and prompt medical, and if necessary, surgical management can lead to excellent outcome.
Korri
H
H
Service de neurologie, Hôtel-Dieu de France, Beyrouth, Liban.
Awada
A
A
Ali
Y
Y
Choucair
J
J
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002006:Brucellosis / Q000150:complications* / Q000382:microbiology; D014695:Cerebral Ventriculography; D004318:Doxycycline / Q000627:therapeutic use; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology; D012293:Rifampin / Q000627:therapeutic use; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D004318:Doxycycline; D012293:Rifampin