Neurobrucellosis in South Tunisia

ABSTRACT

A new epidemic of brucellosis appeared in Tunisia since 1989 and neurological was observed in some cases. We report 5 neurobrucellosis patients originating from south Tunisia, their mean age was 47 years. General symptoms included headache and moderate fever. Neurological examination demonstrated paraplegia in 4 cases and hemiparesis one. Treatment associated cotrimoxazo, reframing and tetracycline for a mean duration of 10 months. Compete recovery or imorovement was observed in 4 cases. For the last case, she remained bedridden. Our series demonstrated the wide spectrum of neurological presentation of neurobrcellosis and the efficiency of specific treatment. The disappearance of human brucellosis in developing countries requires hygienic processing of milk and eradication of infection from carrier animals. Neurologists in developing countries should be aware about diverse presentation neurobrucellosis