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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Neurobrucellosis complicating pregnancy: a case report
D J Gloeb1, C Lupi, M J O'Sullivan
1Department of Obstetrics and Gynecology Division of Maternal Fetal Medicine University of Miami School of Medicine/Jackson Memorial Medical Center Miami FL USA.
Infectious Diseases in Obstetrics and Gynecology
|January 1, 1994
Summary
Brucellosis, a rare pregnancy infection, can cause severe neuropsychiatric symptoms. Early diagnosis and intervention, including preterm delivery, are crucial for improved maternal and neonatal outcomes in infected pregnant women.
Area of Science:
- Infectious Diseases
- Obstetrics and Gynecology
- Neurology
Background:
- Brucellosis is an infectious disease typically acquired through contact with infected animals or unpasteurized dairy.
- Brucellosis during pregnancy is uncommon, with limited documented cases.
- This case highlights the diagnostic challenges and management of brucellosis in a pregnant patient.
Purpose of the Study:
- To discuss the diagnosis, neuropsychiatric manifestations, and management of brucellosis in a third-trimester pregnant woman.
- To emphasize the importance of considering brucellosis in pregnant women with compatible symptoms and exposure history.
- To report on the maternal and neonatal outcomes following intervention.
Main Methods:
- A case study of a 24-year-old pregnant female presenting with diverse symptoms including fever, chills, and neuropsychiatric findings.
- Diagnostic evaluation included serologic tests and cultures to confirm Brucella infection.
- Management involved preterm delivery due to the patient's deteriorating neuropsychiatric condition.
Main Results:
- Brucella infection was confirmed through serologic and culture evidence.
- The patient experienced significant neuropsychiatric manifestations.
- Preterm delivery resulted in satisfactory neonatal and improved maternal outcomes.
Conclusions:
- Brucellosis in pregnant women, especially with neuropsychiatric symptoms, requires thorough investigation.
- A history of potential exposure to infected domestic animals or unpasteurized dairy products should raise suspicion for brucellosis.
- Prompt diagnosis and appropriate management, including consideration of delivery, are vital for managing this rare but serious condition in pregnancy.
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