Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd (Jul 2021)
Introduction of a Patient with Neurobrucellosis with Clinical Manifestations of Vertigo and Nausea-Vomiting
Abstract
Introduction: Brucellosis is a common zoonotic disease. The clinical manifestations of this infection are different due to the involvement of different body systems. These include central nervous system (neurobrucellosis), which presents as meningitis, meningoencephalitis, cognitive-mental disorders and brain abscess. Our patient was a 59-year-old woman who presented with fever, nausea, vomiting, and dizziness 2 weeks prior to admission. A cerebrospinal fluid that was positive for brucellosis was diagnosed.The patient was treated with drugs effective in neuroblastosis and had an appropriate clinical response to treatment. Consider neurobrucellosis in endemic areas such as Iran in the patients with clinical manifestations of fever and vertigo who do not respond to routine treatment and other investigations, especially in a person with a history of exposure to brucellosis.