Topic:

Bacterial infections

Abstract No.:

ISE.115

Title:

A case of hydrocephalus caused by brucella meningitis with positive culture of CSF

Author(s):

R. Razzaghi¹, S. Banaee², M. Erami³; ¹kashan university of medical sciences, infectious disease department, Kashan, ISFAHAN/IR, ²kashan university of medical sciences, neorosurgery, Kashan/IR, ³kashan university of medical sciences, mycology, Kashan, I/IR

Abstract:

Background: Brucellosis is an endemic infectious disease in Iran .The neurological involvement of central nervous system in brucellosis patients is about 3 to 5 percent.here we report a case of  neurobrucellosis with hydrocephalus presentation and positive Culture of CSF .
Methods: A 25-year old man Afghanian presented with weakness and arthralgia. Terrible headache, vertigo, vomiting, cough, sputum and disequilibrium had been added. The brain CT-Scan revealed communicating four ventricular hydrocephalus. Hydrocephalus considered to be  idiopathic and regarding to  high prevalence of   tuberculosis among Afghanian  immigrants which can cause also hydrocephalus, ventriculo-peritoneal shunt was inserted.Presence of   brucella species in CSF culture confirmed that subacute meningitis had been caused hydrocephalus because of delay in diagnosis and treatment. The patient was treated for brucellosis and discharged after 10 days with oral medications
Results: this is a case report
Conclusion: according to our and other studies,  it is recommended that in endemic areas for brucellosis, the patient with neurological symptoms such as hydrocephalus, should be evaluated for neurobrucellosis