RT Journal Article
SR Electronic
T1 Neuro-brucellosis in children
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 67
OP 69
VO 6
IS 1
A1 Mohammed S. Bessisso
A1 Mahmoud F. Elsaid
A1 Sittina S. E. Elshazli
A1 Hatim M. Abdelrahman
A1 Mariam G. AlAli
A1 Ali R. Ali
A1 Hamad M. Aljaber
YR 2001
UL http://nsj.org.sa/content/6/1/67.abstract
AB Brucellosis is an infection caused by gram negative cocobacilli (Brucellae). Presentation is usually non-specific and diagnosis depends on high index of suspicion. Nervous system involvement in children is rare as only 47 cases were reported until 1998. We are reporting two patients with neurobrucellosis. The first case was an 8-year-old boy who presented with papillodeoma, and neck stiffness of one month duration. Cerebrospinal fluid pressure was 360mm/water, protein 0.63gm/dl, and cerebrospinal fluid sugar/serum sugar 0.2/4.7mmol. Brucella titer was high in serum and cerebrospinal fluid. The second case was a 3-year-old girl with congenital hydrocephalus, with history of fever, loss of weight, and abdominal cyst around the distal end of ventriculo-peritoneal shunt tube. Brucella mellitenesis was isolated from cerebrospinal fluid and blood. Both cases were treated successfully by 3 antibiotics for 8-12 week.