Distinctive presentation of neurobrucellosis as myelitis: A case report and literature review

Jiali Yin; Wei Gu; Ying Huan; Zhengnan Li

doi:10.4103/ijpm.ijpm_991_22

Distinctive presentation of neurobrucellosis as myelitis: A case report and literature review

Indian J Pathol Microbiol. 2024 Mar 25. doi: 10.4103/ijpm.ijpm_991_22. Online ahead of print.

Authors

Jiali Yin¹, Wei Gu², Ying Huan^{1

3

4}, Zhengnan Li⁵

Affiliations

¹ Department of Neurology, The First Affiliated Hospital of Gannan Medical University, Anzhou, China.
² The First Clinical College of Gannan Medical University, Ganzhou, China.
³ Key Laboratory of Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases, Ministry of Education, Gannan Medical University, Ganzhou, China.
⁴ Gannan Branch Center of National Geriatric Disease Clinical Medical Research Center, Gannan Medical University, Ganzhou, 341000, Jiangxi, China.
⁵ Ganzhou People's Hospital, Ganzhou, Jiangxi, China.

PMID: 38563711
DOI: 10.4103/ijpm.ijpm_991_22

Abstract

Brucellosis is a zoonotic infectious allergic disease caused by Brucella that is widely distributed throughout the world. Brucella can invade various systems of the human body, such as the joints, the reproductive system, the spine, and the nervous system. Among patients with brucellosis, neurobrucellosis (NB) mainly manifests as nervous system symptoms in only 1.7-10% of patients and can cause a misdiagnosis. We reported a case of NB that presented as myelitis as the main clinical presentation and reviewed the relevant literature. It is suggested that clinicians should consider NB, especially atypical neurological symptoms, when there is a suspicious contact history.