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Meningoencephalitis in brucellosis
D K Kochar1, B L Kumawat, N Agarwal
1Department of Medicine, Neurology Division, S.P. Medical College, Bikaner, 334003, India.
Abstract:
Human brucellosis, more specifically neurobrucellosis, is a less commonly reported disease in India; although, animal brucellosis and seroprevalence in specific areas is well reported. We are reporting 4 cases of neurobrucellosis presenting as meningoencephalitis. Diagnosis was confirmed by serological test and agglutination titre was > 1:320 in all the patients. All these patients had close contact with animals and history of raw milk ingestion was present in 3 cases. The aim of presenting these cases is to create awareness among physicians while treating meningitis in persons, engaged in occupations related to brucellosis or having a history of ingestion of raw milk or milk product.
Insights
Neurobrucellosis, a brain infection from Brucella bacteria, is rarely reported in India. This study highlights four meningoencephalitis cases linked to animal contact and raw milk, urging physician awareness.
Area of Science:
- Neurology
- Infectious Diseases
- Public Health
Background:
- Human brucellosis, particularly neurobrucellosis, is infrequently documented in India.
- Animal brucellosis and its seroprevalence are more commonly reported in specific Indian regions.
Observation:
- This report details four cases of neurobrucellosis manifesting as meningoencephalitis.
- All patients exhibited close contact with animals.
- A history of raw milk consumption was noted in three of the four cases.
Findings:
- Diagnosis was confirmed via serological testing.
- Agglutination titres exceeded 1:320 in all affected individuals.
Implications:
- This case series aims to increase physician awareness of neurobrucellosis.
- Clinicians should consider brucellosis in meningitis patients with relevant occupational or dietary histories.
- Early diagnosis and treatment are crucial for managing this zoonotic infection.