Neurobrucellosis: a case report of papillophlebitis

Article type : Case Report | تاریخ ثبت : 2017/08/28

  • Authors

    1. Mohebi Nafiseh
    2. Moghaddasi Mehdi
    3. Daraee Peyman
  • abstract

    Ocular involvement is an infrequent presenting feature in brucellosis; consequently, the exact incidence has not been established. Herein, we report a 29-year-old woman diagnosed with neurobrucellosis presenting with aseptic meningitis and unilateral blurred vision in whom simultaneous asymptomatic papillophlebitis and symptomatic optic atrophy had been established. To the best of our knowledge, this is the first reported case of neurobucellosis associated with papillophlebitis. It is worth to mention that discovering neurobrucellosis especially while manifesting with rare features, requires high suspicious of diagnosis peculiarly in endemic countries as Iran. In our case, positive serum and cerebrospinal fluid (CSF) Wright, Coombs Wright and 2-Mercapto Ethanol (2ME) confirmed neurobrucellosis.
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