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A Case of Underdiagnosed Brucella Meningitis Presented With Hearing Loss

Oz, Fatma Nur MD*; Tanir, Gonul MD*; Simsek, Gokce MD; Kaya, Neslihan Gurcan MD*; Akin, Istemihan MD

Infectious Diseases in Clinical Practice: March 2013 - Volume 21 - Issue 2 - p 136–138
doi: 10.1097/IPC.0b013e318261151e
Case Reports

Brucellosis is a widespread zoonosis in many parts of the world. Neurologic complications including meningitis, meningoencephalitis, brain abscess, myelitis, radiculoneuritis, peripheral and cranial neuropathies, and psychiatric manifestations are rarely encountered, especially in children. In this report, we present a 13-year-old adolescent boy with chronic Brucella meningitis and hearing loss who was given antibrucellosis treatment for 6 months and subsequently underwent cochlear implantation.

Neurobrucellosis is an uncommon complication of brucellosis. The diagnosis of Brucella meningitis may be missed because of its chronic nature and nonspecific presentation. Early diagnosis and combination treatment are critical to prevent hearing loss. Cochlear implantation may be considered in the cases with profound SNHL due to neurobrucellosis.

From the *Pediatric Infectious Diseases Department, Dr. Sami Ulus Maternity and Children’s Training and Research Hospital, Ankara, Turkey; and †First ENT Clinic, Ministry of Health Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.

Correspondence to: Fatma Nur Oz, MD, Dr. Sami Ulus Çocuk Hastanesi Babür Caddesi No. 44 (06080) Altındağ Ankara, Turkey. E-mail:

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

© 2013 by Lippincott Williams & Wilkins.