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[Brucellosis with nervous system involvement]
J Povar1, J M Aguirre, P Arazo
1Unidad de Enfermedades Infecciosas, Hospital Miguel Servet, Zaragoza.
Abstract:
Cases of brucellosis with involvement of the nervous system which was diagnosed in the Miguel Servet Hospital during the period 1985-1987 are retrospectively studied. The total quantity of affected patients of brucellosis was 132. Of this quantity, 9 patients (6.8%) had neurological complications under the following clinical forms: epidural abscess (2), meningoencephalitis (1), meningitis (2), encephalitis (1), myelitis (1) and polyradiculitis (2). The most important epidemiological and clinical characteristics are analysed, pointing out the diagnostic difficulties we found when the neurological manifestations are predominant in the brucella infection.
Insights
Brucellosis can affect the nervous system, presenting diagnostic challenges. This study reviewed 132 brucellosis cases, finding 9 with neurological complications like meningitis and myelitis.
Area of Science:
- Neurology
- Infectious Diseases
- Epidemiology
Context:
- Brucellosis is a zoonotic infection with diverse clinical presentations.
- Neurological involvement in brucellosis can be severe and difficult to diagnose.
- This study focuses on a retrospective analysis of neurobrucellosis cases.
Purpose:
- To analyze the epidemiological and clinical characteristics of neurobrucellosis.
- To highlight the diagnostic challenges associated with neurological brucellosis.
- To review cases diagnosed between 1985 and 1987 at Miguel Servet Hospital.
Summary:
- A retrospective study of 132 brucellosis patients identified 9 (6.8%) with neurological complications.
- Clinical forms included epidural abscess, meningoencephalitis, meningitis, encephalitis, myelitis, and polyradiculitis.
- The study emphasizes diagnostic difficulties when neurological symptoms predominate.
Impact:
- Provides insights into the clinical spectrum of neurobrucellosis.
- Underscores the importance of considering brucellosis in patients with unexplained neurological symptoms.
- Contributes to the understanding of brucellosis epidemiology and management.