Brucella Meningoencephalitis With Hydrocephalus Masquerading as Tuberculosis

Sathyanarayanan, Vishwanath and Ragini, Bekur and Razak, Abdul and Prabhu, Mukhyaprana (2010) Brucella Meningoencephalitis With Hydrocephalus Masquerading as Tuberculosis. Asian Pacific Journal of Tropical Medicine. pp. 835-837.

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Neurobrucellosis is a rare form of localized brucellosis usually with no systemic manifestations. We report a rare case of brucellosis presenting as meningoencephalitis associated with hydrocephalus. This patient had a lymphocytic predominant CSF and was initially treated with empirical anti tubercular therapy and steroids. A week later, when his CSF culture grew Brucella species, the treatment was changed to a combination of streptomycin, doxycycline and rifampicin and the patient improved with this therapy. This case illustrates the need to consider neurobrucellosis as a close differential diagnosis of neurotuberculosis in endemic areas when the patient presents with meningo encephalitis with lymphocytic CSF.

Item Type: Article
Uncontrolled Keywords: Neurobrucellosis, Meningoencephalitis, Hydrocephalus, Tubercular Meningitis
Subjects: Medicine > KMC Manipal > Medicine
Depositing User: KMC Manipal
Date Deposited: 16 Jul 2011 09:17
Last Modified: 23 Oct 2013 10:23

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