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Chronic Headache and Visual Field Loss: Manifestations in a Patient With Chronic Brucellosis Meningitis: Case Report

Shiva Shabani1

  • 1Department of Infectious Diseases, School of Medicine, Arak University of Medical Sciences, Arak, Iran, arakmu.ac.ir.

Case Reports in Infectious Diseases
|July 13, 2026
PubMed

Insights

Brucellosis meningitis, a challenging zoonotic infection, can cause chronic headaches and visual issues. Prompt diagnosis and a six-month treatment regimen led to a full recovery in a postpartum patient.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Public Health

Background:

  • Brucellosis is a significant zoonotic disease with diverse clinical presentations.
  • Neurological complications, such as meningitis, pose diagnostic challenges.
  • Postpartum onset of symptoms requires careful consideration of infectious etiologies.

Purpose of the Study:

  • To report a case of Brucella meningitis in a postpartum woman.
  • To highlight diagnostic considerations for chronic meningitis.
  • To emphasize the importance of early treatment and its outcomes.

Main Methods:

  • Case report of a 45-year-old female with persistent headache and visual disturbances.
  • Diagnostic workup included neuroimaging and cerebrospinal fluid (CSF) analysis.
  • Wright test confirmed Brucella infection; differential diagnosis was established.

Main Results:

  • CSF analysis revealed meningitis with a positive Wright test.
  • The patient consumed local dairy products, suggesting a potential exposure route.
  • Successful treatment with a standard three-drug regimen for six months resulted in symptom resolution and normalization of serologic titers and visual fields.

Conclusions:

  • Brucella meningitis should be considered in the differential diagnosis of chronic meningitis, particularly in endemic areas.
  • Early diagnosis and appropriate antibiotic therapy lead to favorable patient outcomes.
  • This case highlights the importance of considering zoonotic infections in postpartum patients with neurological symptoms.
Keywords:
chronic brucellosis meningitischronic headachevisual field loss

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