Neurobrucellosis

A six years old female had high-grade fever and two episodes of focal convulsions. Systemic examination was normal. Widal test was repeatedly positive. MRI-brain showed bilateral cerebritis. Blood antibody titers against brucella were positive. She responded to 6 months therapy with doxycycline, rifampicin and gentamicin replaced with streptomycin after 21 days.