Cerebral infarct due to meningovascular neurobrucellosis: a case report

Saime Ay1, Birkan Sonel Tur, Sehim Kutlay

  • 1Department of Physical Medicine and Rehabilitation, Ufuk University School of Medicine, Ankara, Turkey. saimeay@yahoo.com

Insights

Brucellosis, a zoonotic disease, can rarely affect the central nervous system. This report highlights the importance of considering brucellosis in stroke evaluations, especially in endemic areas.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Public Health

Background:

  • Brucellosis is a prevalent zoonotic infection with multisystemic manifestations.
  • Central nervous system (CNS) involvement in brucellosis is infrequent, occurring in 0.5-25% of cases.
  • Stroke is a significant neurological event requiring thorough etiological investigation.

Observation:

  • This report focuses on a case where brucellosis was a contributing factor to stroke.
  • Brucellosis, though rare, can present with neurological complications mimicking other conditions.
  • The endemic nature of brucellosis in the region necessitates its consideration in differential diagnoses.

Findings:

  • Central nervous system brucellosis can manifest in various ways, including stroke.
  • Timely diagnosis of brucellosis is crucial for effective treatment and prevention of complications.
  • Diagnostic evaluation for stroke should include screening for endemic infectious diseases like brucellosis.

Implications:

  • Clinicians should maintain a high index of suspicion for brucellosis in patients presenting with stroke, particularly in endemic regions.
  • Integrating infectious disease screening into stroke workups can improve diagnostic accuracy.
  • Raising awareness about neurobrucellosis is vital for public health strategies in endemic areas.

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