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An Uncommon Case of Pediatric Neurobrucellosis Associated with Intracranial Hypertension
Author(s) -
Xenophon Sinopidis,
Joseph Kaleyias,
Konstantina Mitropoulou,
Maria Triga,
Sanjeev V. Kothare,
Stefanos Mantagos
Publication year - 2012
Publication title -
case reports in infectious diseases
Language(s) - English
Resource type - Journals
eISSN - 2090-6625
pISSN - 2090-6633
DOI - 10.1155/2012/492467
Subject(s) - medicine , headaches , cerebrospinal fluid , papilledema , diplopia , differential diagnosis , pseudotumor cerebri , brucellosis , pediatrics , brucella melitensis , surgery , brucella , pathology , intracranial pressure , immunology
We present the case of a 4-year-old boy who was admitted to hospital with intracranial hypertension, headache, diplopia, papilledema, and a normal brain MRI. Brucella melitensis in the cerebrospinal fluid was confirmed with PCR assay. We believe that neurobrucellosis should be included in the differential diagnosis when headaches persist following brucellosis. In addition, we suggest that when cerebrospinal fluid culture is negative, PCR may prove to be an optimal alternative tool for an immediate and accurate diagnosis.

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