Case report of polyradiclopathy, hearing loss, and ataxia as presentation of neurobrucellosis

الملخص EN

A case report of a 46-year-old male presented with lower limb weakness with lower motor neuron signs, hearing loss ; nerve conduction study demonstrated axonal polyradiculoneuropathy.

CSF study showed (low glucose, high protein with lymphocytosis), brucella titer in the blood was borderline, polymerase chain reaction and culture for tuberculosis were negative.

The patient initially was managed with an anti-tubercular treatment.

The weakness improved, but the patient continues to have hearing loss.

Several months later his gait became ataxic ; brucella titer at the blood was repeated 1 / 160 ; CSF brucella culture were negative ; CSF brucella agglutination titer came back very high 1:1280, and anti brucella regimen were started.

The patient showed significant improvement within few months after the treatment.