Shaw Brian, Madden Melinda, Sanchez Edgar, Carlan Steve
Internal Medicine, Orlando Regional Medical Center, Orlando, USA.
Infectious Diseases, Orlando Regional Medical Center, Orlando, USA.
Cureus. 2023 May 23;15(5):e39383. doi: 10.7759/cureus.39383. eCollection 2023 May.
Brucellosis is a zoonotic infectious disease caused by the bacterial genus and is most commonly transmitted to humans globally via the consumption of contaminated unpasteurized products. In a significant minority of cases, has been found to be transmitted by contact with infected swine bodily fluids such as blood. Only a small proportion of all cases of brucellosis affects the central nervous system, and of the four species of that are known to infect humans, is unusual. Neurologic involvement occurs in a limited proportion of cases and can vary in presentation, ranging from encephalitis to radiculitis or from brain abscess to neuritis. In this case report, we present a 20-year-old male with an eight-day history of headache and neck pain and a high fever that started two days after the onset of the headaches. Three weeks prior, he had hunted, killed, butchered, cooked, and eaten a wild boar in the field. A workup was performed, and blood cultures eventually grew . Although an intensive broad-spectrum antibiotic protocol was implemented, his post-therapy course was complicated. He eventually discontinued his antibiotics after one year.
布鲁氏菌病是一种由布鲁氏菌属细菌引起的人畜共患传染病,在全球范围内,人类最常通过食用受污染的未经过巴氏杀菌的产品而感染。在极少数情况下,已发现布鲁氏菌病是通过接触受感染猪的体液(如血液)传播的。在所有布鲁氏菌病病例中,只有一小部分会影响中枢神经系统,在已知感染人类的四种布鲁氏菌中,猪布鲁氏菌感染较为罕见。神经系统受累在病例中所占比例有限,表现形式各异,从脑炎到神经根炎,或从脑脓肿到神经炎。在本病例报告中,我们介绍了一名20岁男性,有8天的头痛和颈部疼痛病史,头痛发作两天后开始出现高热。三周前,他在野外猎杀、宰杀、烹饪并食用了一头野猪。进行了相关检查,血培养最终培养出猪布鲁氏菌。尽管实施了强化的广谱抗生素治疗方案,但他治疗后的病程仍很复杂。一年后他最终停用了抗生素。