Tekin-Koruk Suda, Duygu Fazilet, Gursoy Bensu, Karaagac Leman, Bayraktar Mehmet
Harran University, Infectious Diseases and Clinical Microbiology Sanliurfa, Turkey.
Ann Saudi Med. 2010 Sep-Oct;30(5):412-4. doi: 10.4103/0256-4947.67084.
Neurobrucellosis is one of the complications of brucellosis. We report a rare case of a 17-year-old girl with seronegative neurobrucellosis and depression and diplopia. Results of agglutination tests for Brucella both in serum and CSF were negative. Diagnosis was made only by positive culture of Brucella mellitensis with inoculation of the patient's cerebrospinal fluid in a BACTEC 9050 System. The patient was successfully treated using ceftriaxone, doxycycline and rifampicin therapy for six months.
神经型布鲁氏菌病是布鲁氏菌病的并发症之一。我们报告了一例罕见的17岁女孩病例，她患有血清阴性神经型布鲁氏菌病，伴有抑郁和复视。血清和脑脊液中布鲁氏菌凝集试验结果均为阴性。仅通过在BACTEC 9050系统中接种患者脑脊液，马尔他布鲁氏菌培养呈阳性才得以确诊。患者通过头孢曲松、强力霉素和利福平联合治疗六个月后成功治愈。
