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Hypoglycorrhachia lymphocytic meningoencephalitis: beyond tuberculosis, consider neurobrucellosis
Wiam Ait Driss1, Hajar Lamhamdi1, Rania El Fargani1
1Service des maladies infectieuses - Centre hospitalier universitaire (CHU) Mohammed VI, Laboratoire de recherche de lutte contre les maladies infectieuses, Faculté de médecine et de pharmacie, Université Cadi, Ayyad, Marrakech, Maroc.
Introduction:
Brucellosis, a common zoonotic infection caused by bacteria of the genus Brucella, is prevalent in many countries around the world. Neurobrucellosis can develop at any stage of the disease and present with a variety of symptoms. This study aims to emphasize the importance of considering this diagnosis in cases of chronic meningoencephalitis when brucellosis exposure is a possibility.
Patients And Methods:
We present the case of a 65-year-old farmer with a two-month history of chronic meningoencephalitis. Results. The results of the lumbar puncture, magnetic resonance imaging, and most importantly, serology, led to a diagnosis of neurobrucellosis. The patient responded well to dual antibiotic therapy, with regression of neurological signs and a return to independence.
Conclusion:
Although rare, brucellosis should remain in the differential diagnosis for hypoglycorrhachia lymphocytic meningitis, particularly in endemic regions.
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