Spastic paraparesis and sensorineural hearing loss in a patient with neurobrucellosis.
OBJECTIVE
Brucellosis is a zoonotic disease and still a major public health problem in many geographic areas including Mediterranean basin and Middle East. Brucellosis causes multisystemic involvement and although rare central nervous system involvement causes serious manifestations. Neurobrucellosis occurs less than 5% of patients and presents with meningitis,encephalitis, myelitis, myelopathy, stroke, paraplegia, radiculoneuritis, intracerebral abscess, epidural abscess, demyelination and cranial nerve involvement or any combination of these manifestations. Spastic paraparesis and the sensorineural involvement are rarely reported in the literature.


METHODS
Herein we present a 28 years-old man with spastic paraparesis and sensorineural hearing loss due to neurobrucellosis.


RESULTS
The patient was treated with antibiotics combination for 6 months and underwent rehabilitation program.


CONCLUSIONS
Neurobrucellosis should be ruled out in patients with unexplained neurological symptoms and/or sensorineuralhearing loss particularly in those living in endemic areas.
Department of Physical Medicine and Rehabilitation, Ataturk University, Erzurum, Turkey.
Tuba
T
Baykal
Fatih
F
Baygutalp
Kazim
K
Senel
Akin
A
Levent
Akin
A
Erdal
Mahir
M
Ugur
Salih
S
Ozgocmen
D000326:Adrenoleukodystrophy / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002006:Brucellosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D020806:Central Nervous System Bacterial Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003638:Deafness / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation; D004318:Doxycycline / Q000627:therapeutic use; D040181:Genetic Diseases, X-Linked / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D009128:Muscle Spasticity / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation; D010243:Paralysis / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation; D016896:Treatment Outcome; D014421:Turkey
D000900:Anti-Bacterial Agents; D004318:Doxycycline