Neurobrucellosis in a Hunter of Feral Swine

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.