Abstract
We report a rare case of brucellosis with Parkinsonian-like tremor and simple partial motor seizure. This patient worked as a sheep butcher and the sheep were imported from brucellosis-endemic areas. He presented with classical manifestations of brucellosis; infection was confirmed using the Rose Bengal Plate and Standard Tube Agglutination tests. The patient also suffered from headache, partial seizures, changes of personality and static tremor of both upper limbs. After anti-infection therapy, but without the use of anti-Parkinson drugs, the patient fully recovered and remained free of Parkinsonian-like tremor. Brucellosis can present with atypical symptoms, clinicians should widen their diagnostic view of brucella infection.
Highlights
Brucellosis is a zoonotic infection caused by theGram-negative coccobacillus Brucella and as many as 500 000 new cases are diagnosed globally each year [1]
It is generally believed that only 4% of the patients have neurological manifestations accompanying these symptoms [2,3,4,5]; these conditions vary widely and include polyradiculitis, myelopathy, encephalitis, or meningitis [6], brain or epidural abscess [7,8], injury of cranial nerve [3,9,10,11], transient ischemic attack and other vascular diseases [12,13], altered mental status [14]
Brucellosis is an endemic disease in many areas of the globe, including China
Summary
Brucellosis is a zoonotic infection caused by theGram-negative coccobacillus Brucella and as many as 500 000 new cases are diagnosed globally each year [1]. He began to receive oxytetracycline; this treatment was based on the diagnosis of brucellosis which drawn from positive serum Rose Bengal Plate and Standard Tube Agglutination tests performed by Yixing Center for Disease Control and Prevention (the latter is 1:400). Neurological disorders together with high protein level and increased cell number in CSF indicated that there was something wrong with the central nervous system.
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