Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
ORIGINAL ARTICLE
Management of Neurobrucellosis: An Assessment of 11 Cases
Hanefi Cem GulHakan ErdemLevent GorenekMehmet Fatih OzdagYasin KalpakciIsmail Yasar AvciBulent Ahmet BesirbelliogluCan Polat Eyigun
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JOURNALS OPEN ACCESS

2008 Volume 47 Issue 11 Pages 995-1001

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Abstract

Objective The central nervous system involvement of Brucellosis causes a hard to treat infection with multiple sequelae. The aim of this paper is to discuss the course of neurobrucellosis in response to therapy.
Patients and Methods Patients with neurobrucellosis were evaluated. The diagnosis was established by the isolation of bacteria, abnormal CSF findings and positive serology. Ceftriaxone, rifampicin, doxycycline and trimethoprim sulfamethoxazole were the antibiotic choices for these cases.
Results We present 11 cases with neurobrucellosis. None of our patients died, albeit one case has a critical situation due to subarachnoid hemorrhage and its' concordant sequelae. Only one of four patients with walking difficulty and two with hearing loss were normalized with therapy. Imaging techniques did not provide any specific contribution regarding the Brucella infection.
Conclusions Parenteral ceftriaxone should be used as an initial alternative in the management of neurobrucellosis. Although the therapy should be individualized, the duration of therapy should be a minimum of six months with suitable antibiotics.

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© 2008 by The Japanese Society of Internal Medicine
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