Increased intracranial pressure associated with neurobrucellosis: a case report: Nörobruselloz ile ilişkili intrakranial basınç artışı: bir olgu sunumu

Sedat Işıkay; Kutluhan Yılmaz; Seydi Okumuş

doi:10.5455/GMJ-30-2011-28

Authors

Sedat Işıkay Gaziantep Üniversitesi, Tıp Fakültesi, Pediatri Anabilim Dalı, Gaziantep
Kutluhan Yılmaz Gaziantep Üniversitesi, Tıp Fakültesi, Pediatri Anabilim Dalı, Gaziantep
Seydi Okumuş Gaziantep Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Gaziantep

DOI:

https://doi.org/10.5455/GMJ-30-2011-28

Keywords:

Child, increased intracranial pressure, complication, neurobrucellosis, papilledema

Abstract

Neurologic complications of childhood brucellosis are rarely seen. Increased intracranial pressure is a rare presentation of neurobrucellosis. A 15-year-old girl patient was admitted with complaints of blurred vision, diplopia, fatigue, headache, nausea and vomiting. She had a history of systemic brucellosis diagnosed 2 months earlier. Bilateral papilledema was established in neurological assessment. Standard tube agglutination test titer was elevated in serum. We diagnosed increased intracranial pressure and neurobrucellosis on the basis of symptoms and signs of increased intracranial pressure, findings on neuroimaging and cerebrospinal fluid analysis, and substantially increased cerebrospinal fluid pressure. After 8 weeks of treatment with acetazolamide, the headaches and papilledema resolved. The patient was successfully treated using streptomycin, doxycycline and rifampicin therapy for three months. The aim of this case presentation is to draw attention to the importance of neurobrucellosis in the differential diagnosis of papilledema, especially in endemic regions such as in our country.

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