Inayat Asad, Marwat Qudrat U, Hayat Waqar, Faisal Muhammad S
Internal Medicine, Khyber Teaching Hospital, Peshawar, PAK.
Internal Medicine, Portiuncula University Hospital, Galway, IRL.
Cureus. 2020 Sep 7;12(9):e10293. doi: 10.7759/cureus.10293.
Brucellosis is a zoonotic bacterial infection and is highly treatable. Despite being eradicated from most developed countries, its prevalence in Africa, the Middle East and parts of Asia pose a high risk of morbidity if undiagnosed. It mainly affects the reticuloendothelial system and manifests as fever, constitutional symptoms, hepatomegaly, and splenomegaly, but other organ systems can also be involved. Neurobrucellosis is a type of brucellosis in which the central or peripheral nervous systems are affected. It can present with a myriad of signs and symptoms such as stroke, meningitis, and cranial nerve palsies. We present a rare case of a 16-year-old boy with brucellosis who presented with pancytopenia and foot drop. He was subsequently managed with intravenous antibiotics for brucellosis and physiotherapy for foot drop.
布鲁氏菌病是一种人畜共患的细菌感染性疾病，且极易治疗。尽管在大多数发达国家已被根除，但在非洲、中东和亚洲部分地区，如果未被诊断出来，其流行会带来很高的发病风险。它主要影响网状内皮系统，表现为发热、全身症状、肝肿大和脾肿大，但其他器官系统也可能受累。神经型布鲁氏菌病是布鲁氏菌病的一种类型，其中枢或外周神经系统会受到影响。它可表现出多种体征和症状，如中风、脑膜炎和颅神经麻痹。我们报告一例罕见病例，一名16岁患布鲁氏菌病的男孩出现全血细胞减少和足下垂。随后他接受了针对布鲁氏菌病的静脉抗生素治疗以及针对足下垂的物理治疗。
