Surprising Result in A Patient Presenting with Agitation: Neurobrucellosis

Authors : Gözde Yılmaz, Ayşegül Eylem Özer, Rukiye Aytekin, Haticenur Yıldırım, Necmi Baykan

Pages : 131-133

Doi:10.38175/phnx.1478894

View : 24 | Download : 66

Publication Date : 2024-11-01

Article Type : Other Papers

Abstract :Brucellosis is one of the most common zoonotic diseases worldwide. Neurobrucellosis develops within approximately 12 months after the diagnosis of brucellosis. Since the classical triad of meningitis (fever, nuchal rigidity, confusion) is rare in cases of meningitis due to brucellosis, brucellosis should be considered in the differential diagnosis of patients with unexplained neurological findings in endemic areas. In our case, a 31-year-old male patient with no history of chronic disease in his medical history was admitted to the emergency department with agitation, confusion, meaningless movements, unsteadiness in walking and blurred vision which started on the same day. In his anamnesis, it was learned that he had been treated for brucella 8 months ago in an external centre, but he did not continue his treatment regularly and did not attend the follow-up visits. LP revealed microprotein 255 mg/dL and albumin 114 mg/dL. CSF brucella agglutination was positive at a titre of 1/40. The patient was transferred to the intensive care unit with a diagnosis of neurobrucellosis. In this case report, we aimed to ensure that neurobrucellosis should be considered as a differential diagnosis in patients presenting with neurological and psychiatric symptoms, especially in regions where animal husbandry is practised. We believe that with this case report, we will contribute to a subject that does not have many examples in the literature and that we will be able to create different perspectives on patients with atypical symptoms
Keywords : Nörobruselloz, Ajitasyon, Ensefalit