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Encephalomyelitis with hearing loss: case report on neurobrucellosis
Vikas Lakhanpal1, Deependra Singh2, Kiran Bhagwat2
1Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India drvikaslakhanpal@gmail.com.
Abstract:
Neurobrucellosis is a zoonotic infection transmitted by infected animals or by contact with animal products and is an important health problem in resource-limited settings. In this case report, we present the case of a middle-aged man presenting with encephalomyelitis with hearing loss and diagnosed with neurobrucellosis based on imaging and serological tests. Because brucellosis infection is indolent, a high index of suspicion should be maintained in individuals presenting with fever, neurological signs and symptoms so that early management can prevent long-term neurological sequelae such as focal neurological deficits, hydrocephalus and psychiatric sequelae.
Insights
Neurobrucellosis, a zoonotic infection, can cause serious neurological issues like encephalomyelitis. Early diagnosis and treatment are crucial to prevent long-term complications in affected individuals.
Area of Science:
- Neurology
- Infectious Diseases
- Zoonotic Infections
Background:
- Neurobrucellosis is a significant zoonotic infection, particularly in resource-limited areas.
- It stems from contact with infected animals or their products.
- Delayed diagnosis can lead to severe neurological sequelae.
Observation:
- A case report details a middle-aged man with encephalomyelitis, hearing loss, and confirmed neurobrucellosis.
- Diagnosis was established through characteristic imaging and serological test results.
Findings:
- The patient's presentation highlighted the diverse neurological manifestations of neurobrucellosis.
- Imaging and serology confirmed the diagnosis, underscoring their importance in identifying the infection.
Implications:
- A high index of suspicion for neurobrucellosis is vital in patients with fever and neurological symptoms.
- Prompt management is essential to mitigate debilitating long-term neurological deficits, including cognitive and psychiatric impairments.
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