Swick H M
Neuropediatrics. 1981 Nov;12(4):330-6. doi: 10.1055/s-2008-1059665.
An 11-year-old girl developed a subacute illness characterized by fever, malaise, depression, and meningoencephalitis. The etiology remained elusive until her agglutinin titer against Brucella abortus rose from 1:20 to 1:320. Brucellosis is an uncommon illness in children, an neurological involvement has been described in only ten cases. Brucella meningoencephalitis is characterized by a lymphocytic pleocytosis and elevated protein in the cerebrospinal fluid. Patients respond well to specific therapy; it is important, therefore, to consider the diagnosis of brucellosis in patients with subacute meningitis of unexplained etiology.
一名11岁女孩患上一种亚急性疾病，其特征为发热、不适、抑郁和脑膜脑炎。病因一直不明，直到她针对流产布鲁氏菌的凝集素效价从1:20升至1:320。布鲁氏菌病在儿童中并不常见，仅有10例报告过有神经受累情况。布鲁氏菌性脑膜脑炎的特征是脑脊液中淋巴细胞增多和蛋白质升高。患者对特异性治疗反应良好；因此，对于病因不明的亚急性脑膜炎患者，考虑布鲁氏菌病的诊断很重要。
