Algahtani Hussein, Shirah Bader, Abdulghani Dina, Farhan Roiya, Algahtani Raghad
King Abdulaziz Medical City and King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
King Abdullah International Medical Research Center and King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
Case Rep Infect Dis. 2017;2017:1434051. doi: 10.1155/2017/1434051. Epub 2017 Feb 16.
Brucellosis is a zoonotic bacterial infection which is transmitted to humans from infected animals and is endemic in many parts of the world including Saudi Arabia. In this article, we report a case of occupational neurobrucellosis that presented with a space-occupying lesion mimicking a brain tumor. We stress on the importance of obtaining detailed social history including occupation to reach the diagnosis in several conditions including brucellosis. We also stress on taking universal precautions when handling any specimens. It may be advisable that manipulation of all unknown specimens arriving at the laboratory should occur in biological safety cabinet until a highly infectious organism is ruled out. Neurobrucellosis should be included in the differential diagnosis in patients presenting with solitary mass lesion mimicking brain tumor especially in endemic areas or high occupational risk group.
布鲁氏菌病是一种人畜共患的细菌感染病，可从受感染动物传播给人类，在包括沙特阿拉伯在内的世界许多地区都有流行。在本文中，我们报告了一例职业性神经布鲁氏菌病病例，该病例表现为占位性病变，酷似脑瘤。我们强调，在包括布鲁氏菌病在内的几种病症中，获取包括职业在内的详细社会史对于做出诊断非常重要。我们还强调在处理任何标本时要采取通用预防措施。建议在排除高传染性生物体之前，对所有送达实验室的未知标本都应在生物安全柜中进行处理。对于出现酷似脑瘤的孤立性肿块病变的患者，尤其是在流行地区或高职业风险人群中，应将神经布鲁氏菌病纳入鉴别诊断。
