Multiple cranial nerve involvement caused by Brucella melitensis

South Med J. 2009 Aug;102(8):855-7. doi: 10.1097/SMJ.0b013e3181ac0628.

Abstract

A case of neurobrucellosis complicated by optic, abducens and vestibulocochlear nerve palsies is reported. Brucella melitensis was isolated in the cerebrospinal fluid, and the patient was diagnosed with retrobulbar neuritis. Despite medical treatment, the patient developed optic atrophy. Multiple cranial nerve involvement should be kept in mind in patients presenting with blurred vision and double vision, especially in regions where brucellosis is endemic.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Brucella melitensis / isolation & purification*
  • Brucellosis / diagnosis*
  • Brucellosis / drug therapy
  • Diplopia / microbiology
  • Drug Therapy, Combination
  • Female
  • Hearing Loss, Bilateral / microbiology
  • Humans
  • Meningitis, Bacterial / drug therapy
  • Meningitis, Bacterial / microbiology*
  • Optic Nerve Diseases / microbiology*
  • Vestibulocochlear Nerve Diseases / microbiology
  • Young Adult

Substances

  • Anti-Bacterial Agents