Abstract
Brucella considered a deceptive infectious disease in India. Human Brucellosis is well reported in India; however there are only few cases reports on Neurobrucellosis. Brucella is a Pandora's Box as the clinical picture is variable. There are Diagnostic Criteria, includes clinical picture and/or radio imaging and/or CSF ndings. This article enlighten on neurobrucellosis, case report of 17 years with persistent headache, two episode seizures, Photophobia was evaluated and hyper intensity in the frontal lobe with MRI Spectra showing Choline, lactate peak, suggesting a neoplastic lesion or Tuberculoma. Tissue diagnosis was found with inammatory cells and no neoplastic cells were found, the CSF was sent for IgM and IgG titre which were positive and treated. Patient Improved clinically. Patients with persistent headache or neurological signs should be considered for neurobrucellosis in endemic regions. Brucellosis to be considered in cases where there is no probable cause as the diseases has various pathologies.
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