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Neurobrucellosis in a Hunter of Feral Swine

Gelfand, Michael S. MD*; Cleveland, Kerry O. MD*; Buechner, David MD

Infectious Diseases in Clinical Practice: July 2014 - Volume 22 - Issue 4 - p e103–e104
doi: 10.1097/IPC.0000000000000160
Case Reports

Abstract: Brucellosis is a zoonotic infection caused by Brucella species. With a declining incidence of brucellosis in the United States, physicians are becoming less familiar with this infection including its previously described neurological manifestations. In the past, most cases of infection with Brucella suis were associated with occupational exposures, but recreational and sporting exposures have recently been implicated in the acquisition of this infection.1

 We report the case of a patient who developed meningitis due to B. suis after hunting and butchering feral swine. His infection was complicated by development of a basilar artery mycotic aneurysm with subsequent subarachnoid hemorrhage, cerebral infarctions, and hydrocephalus.

From the *Departments of Medicine and †Radiology, University of Tennessee Health Science Center and Methodist Healthcare of Memphis, Memphis, TN.

Correspondence to: Kerry O. Cleveland, MD, 1325 Eastmoreland Ave, Suite 460, Memphis, TN 38104. E-mail: kcleveland@uthsc.edu.

The authors have no funding or conflicts of interest to disclose.

© 2014 by Lippincott Williams & Wilkins.