A traveler with neurobrucellosis.
An Indian traveler developed fever and neurological symptoms after a visit to East Africa. He was treated with suramin, melarsoprol and prednisolone for presumed East African trypanosomiasis. His condition deteriorated and cerebral lesions developed. Neurobrucellosis was diagnosed. Combination antibiotic therapy led to gradual clinical improvement and regression of the brain lesions. Misdiagnosis of East African trypanosomiasis followed by treatment with potentially lethal medication should be avoided by not relying on insufficient evidence during the diagnostic process.
Van den Enden
E
E
Institute of Tropical Medicine, Department of Clinical Sciences, Nationalestraat 155, 2000 Antwerp, Belgium. evdenden@itg.be
Vlieghe
E
E
Demeester
R
R
Ieven
G
G
Jansens
H
H
Van den Hauwe
L
L
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001898:Borrelia / Q000302:isolation & purification; D006801:Humans; D020852:Lyme Neuroborreliosis / Q000175:diagnosis* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D014195:Travel
D000900:Anti-Bacterial Agents