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:: Volume 14, Number 7 (Brucellosis Supplement 2012) ::
amuj 2012, 14(7): 109-115 Back to browse issues page
Hydrocephalus due to brucella meningitis: A case report
Reza Razzaghi, Saeed Banaee, Mahzad Erami , Ali mohamadi, Hassan Kosha
master science Kashan University of Medical Sciences , erami_m@yahoo.com
Abstract:   (9408 Views)
Background: Brucellosis is an endemic infectious disease in Iran. The neurological involvement of the central nervous system in brucellosis patients is about 3 to 5 %. Case: The case was a 25-year old Afghan man with weakness and arthralgia for one year as well as terrible headache, vertigo, vomiting, cough, sputum, and disequilibrium. Brain CT-Scan indicated communicating hydrocephalus in four ventricles. Since hydrocephalus was idiopathic and noticing the prevalence of tuberculosis among Afghan immigrants that can also cause hydrocephalus, ventriculo-peritoneal shunt was inserted for the patient. Pressure in CSF increased and had a turbid appearance. Glucose value of CSF decreased (35 mg/dl), whereas protein value increased (724 mg/dl). Leukocyte count was 10 mm3 with 80% neutrophils and 20% lymphocytes. The presence of brucella species in CSF culture confirmed that subacute meningitis had caused hydrocephalus due to delay in diagnosis and treatment. The patient was treated for brucellosis and discharged after 10 days with oral medications. Conclusion: Noticing this case and other studies, it is recommended that patients with neurological symptoms, such as hydrocephalus, be evaluated for neuro-brucellosis in endemic areas for brucellosis.
Keywords: Hydrocephalus, Meningitis, Neuro-brucellosis
Full-Text [PDF 1743 kb]   (1542 Downloads)    
Type of Study: Case Report | Subject: Infection
Received: 2011/10/17 | Accepted: 2012/01/11
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Razzaghi R, Banaee S, Erami M, mohamadi A, Kosha H. Hydrocephalus due to brucella meningitis: A case report. amuj. 2012; 14 (7) :109-115
URL: http://amuj.arakmu.ac.ir/article-1-1359-en.html
Volume 14, Number 7 (Brucellosis Supplement 2012) Back to browse issues page
مجله دانشگاه علوم پزشکی اراک Arak Medical University Journal
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