RESUMO
A report of a 9 year-old child with Myelomeningocele who has a ventriculo-peritoneal [VP] shunt presented with gastrointestinal symptoms and peritonitis. The patient had no cNS symptoms but the cerebrospinal fluid was positive for Brucella melitensis. We discuss neurobrucellosis in children, its various presentations, complications and challenges in treatment, choice of antibiotics and duration
Assuntos
Humanos , Masculino , Brucella melitensis , Derivação Ventriculoperitoneal , Trato Gastrointestinal , Meningomielocele , Criança , PeritoniteRESUMO
We report the case of a 10-year-old girl who presented to the emergency department with acute abdominal pain. She was diagnosed as having extrapulmonary tuberculosis [TB] with multifocal osteomyelitis of the spine and ribs, peritonitis and intestinal involvement. We describe the clinical presentation of this unusual constellation of the disease in the absence of pulmonary involvement in a child and discuss the diagnostic challenges and treatment of these rare forms of TB