Multiple cranial nerve involvement caused by Brucella melitensis.
A case of neurobrucellosis complicated by optic, abducens and vestibulocochlear nerve palsies is reported. Brucella melitensis was isolated in the cerebrospinal fluid, and the patient was diagnosed with retrobulbar neuritis. Despite medical treatment, the patient developed optic atrophy. Multiple cranial nerve involvement should be kept in mind in patients presenting with blurred vision and double vision, especially in regions where brucellosis is endemic.
Sahin
Elif
E
Department of Clinical Microbiology and Infectious Diseases, Mersin University, 33079-Mersin, Turkey. sahinelif@gmail.com
Yilmaz
Arda
A
Ersöz
Gülden
G
Uğuz
Mustafa
M
Kaya
Ali
A
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017347:Brucella melitensis / Q000302:isolation & purification*; D002006:Brucellosis / Q000175:diagnosis* / Q000188:drug therapy; D004172:Diplopia / Q000382:microbiology; D004359:Drug Therapy, Combination; D005260:Female; D006312:Hearing Loss, Bilateral / Q000382:microbiology; D006801:Humans; D016920:Meningitis, Bacterial / Q000188:drug therapy / Q000382:microbiology*; D009901:Optic Nerve Diseases / Q000382:microbiology*; D000160:Vestibulocochlear Nerve Diseases / Q000382:microbiology; D055815:Young Adult
D000900:Anti-Bacterial Agents