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Brucella meningitis and papilledema in a child

J Levy1, M Shneck, M Marcus

  • 1Department of Ophthalmology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel. ljaime@bgu.ac.il

European Journal of Ophthalmology
|December 6, 2005
PubMed

Insights

Brucella meningitis, a rare infection in children, can cause papilledema. Prompt diagnosis and treatment of this neurobrucellosis case led to full recovery, highlighting the importance of considering raw milk exposure.

Area of Science:

  • Pediatric Neurology
  • Infectious Diseases

Background:

  • Brucellosis is a zoonotic infection that can affect the central nervous system.
  • Neurobrucellosis, particularly meningitis, is uncommon in pediatric populations.

Observation:

  • A 6-year-old girl presented with symptoms of meningitis, including headache, fever, and vomiting, following consumption of raw goat's milk.
  • Clinical examination revealed positive meningeal signs and bilateral papilledema with flame-shaped hemorrhages.

Findings:

  • Diagnosis of Brucella meningitis was confirmed by positive blood and cerebrospinal fluid cultures and a high serum agglutination titer.
  • The patient received a combination antibiotic therapy (trimethoprim-sulfamethoxazole, rifampin, doxycycline) with a favorable outcome.

Implications:

  • Brucella meningitis should be considered in children with meningitis symptoms and a history of consuming unpasteurized dairy products.
  • Papilledema is a significant clinical sign in pediatric neurobrucellosis, but visual impairment is rare with timely intervention.
Abstract

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