Brucella meningoencephalitis with hydrocephalus masquerading as tuberculosis
Sathyanarayanan, V; Ragini, B; Razak, A; Prabhu, MM
Sathyanarayanan, V (reprint author), Kasturba Med Coll & Hosp, Dept Internal Med, Manipal 576104, Karnataka, India
Neurobrucellosis is a rare form of localized brucellosis usually with no systemic manifestations. We report a rare case of brucellosis presenting as meningoencephalitis associated with hydrocephalus. This patient had a lymphocytic predominant CSF and was initially treated with empirical anti tubercular therapy and steroids. A week later, when his CSF culture grew Brucella species, the treatment was changed to a combination of streptomycin, doxycycline and rifampicin and the patient improved with this therapy. This case illustrates the need to consider neurobrucellosis as a close differential diagnosis of neurotuberculosis in endemic areas when the patient presents with meningo encephalitis with lymphocytic CSF.
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原文查看：Brucella meningoencephalitis with hydrocephalus masquerading as tuberculosis