Hearing loss: an unusual presentation of neurobrucellosis: a case report
Abstract Introduction Brucellosis is a zoonotic disease, caused by a Gram-negative coccobacillus of Brucella genus, transmitted to humans by animals, especially cattle. It rarely involves the nervous system (neurobrucellosis); only a few cases present with hearing loss. We report a case of neurobruc...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-03-01
|
| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-023-03836-x |
| _version_ | 1827974551637590016 |
|---|---|
| author | Prem Kumar Sah Hari Krishna Lamichhane Ezza Fatima Tariq K. C. Saroj Prabhat Adhikari |
| author_facet | Prem Kumar Sah Hari Krishna Lamichhane Ezza Fatima Tariq K. C. Saroj Prabhat Adhikari |
| author_sort | Prem Kumar Sah |
| collection | DOAJ |
| description | Abstract Introduction Brucellosis is a zoonotic disease, caused by a Gram-negative coccobacillus of Brucella genus, transmitted to humans by animals, especially cattle. It rarely involves the nervous system (neurobrucellosis); only a few cases present with hearing loss. We report a case of neurobrucellosis, that presented with bilateral sensorineural hearing loss and mild to moderate persistent headache. To the best of our knowledge, this is the first well-documented case from Nepal. Case presentation The patient was a 40-year-old Asian male shepherd from the western mountainous region of Nepal who came to the emergency department of Manipal Teaching Hospital, Pokhara in May, 2018 and did a follow-up for 6 months. He presented with high-grade fever, profuse sweating, headache, myalgia, and bilateral sensorineural hearing loss. His history of consuming raw milk of cattle, symptoms including persistent mild to moderate headache, bilateral hearing loss, and serological findings were suggestive of neurobrucellosis. Following treatment, the symptoms improved, including the complete recovery of hearing loss. Conclusion Hearing loss may be the manifestation of neurobrucellosis. Physicians should know about such presentations in brucella endemic areas. |
| first_indexed | 2024-04-09T19:56:15Z |
| format | Article |
| id | doaj.art-3756dc8619da4b5980b848e50a49f303 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-09T19:56:15Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-3756dc8619da4b5980b848e50a49f3032023-04-03T05:28:08ZengBMCJournal of Medical Case Reports1752-19472023-03-011711410.1186/s13256-023-03836-xHearing loss: an unusual presentation of neurobrucellosis: a case reportPrem Kumar Sah0Hari Krishna Lamichhane1Ezza Fatima Tariq2K. C. Saroj3Prabhat Adhikari4Manipal Teaching HospitalManipal Teaching HospitalMultan Medical and Dental CollegeManipal Teaching HospitalInstitute of MedicineAbstract Introduction Brucellosis is a zoonotic disease, caused by a Gram-negative coccobacillus of Brucella genus, transmitted to humans by animals, especially cattle. It rarely involves the nervous system (neurobrucellosis); only a few cases present with hearing loss. We report a case of neurobrucellosis, that presented with bilateral sensorineural hearing loss and mild to moderate persistent headache. To the best of our knowledge, this is the first well-documented case from Nepal. Case presentation The patient was a 40-year-old Asian male shepherd from the western mountainous region of Nepal who came to the emergency department of Manipal Teaching Hospital, Pokhara in May, 2018 and did a follow-up for 6 months. He presented with high-grade fever, profuse sweating, headache, myalgia, and bilateral sensorineural hearing loss. His history of consuming raw milk of cattle, symptoms including persistent mild to moderate headache, bilateral hearing loss, and serological findings were suggestive of neurobrucellosis. Following treatment, the symptoms improved, including the complete recovery of hearing loss. Conclusion Hearing loss may be the manifestation of neurobrucellosis. Physicians should know about such presentations in brucella endemic areas.https://doi.org/10.1186/s13256-023-03836-xNeurobrucellosisBrucellosisNepalHearing lossSensorineural hearing lossCase report |
| spellingShingle | Prem Kumar Sah Hari Krishna Lamichhane Ezza Fatima Tariq K. C. Saroj Prabhat Adhikari Hearing loss: an unusual presentation of neurobrucellosis: a case report Journal of Medical Case Reports Neurobrucellosis Brucellosis Nepal Hearing loss Sensorineural hearing loss Case report |
| title | Hearing loss: an unusual presentation of neurobrucellosis: a case report |
| title_full | Hearing loss: an unusual presentation of neurobrucellosis: a case report |
| title_fullStr | Hearing loss: an unusual presentation of neurobrucellosis: a case report |
| title_full_unstemmed | Hearing loss: an unusual presentation of neurobrucellosis: a case report |
| title_short | Hearing loss: an unusual presentation of neurobrucellosis: a case report |
| title_sort | hearing loss an unusual presentation of neurobrucellosis a case report |
| topic | Neurobrucellosis Brucellosis Nepal Hearing loss Sensorineural hearing loss Case report |
| url | https://doi.org/10.1186/s13256-023-03836-x |
| work_keys_str_mv | AT premkumarsah hearinglossanunusualpresentationofneurobrucellosisacasereport AT harikrishnalamichhane hearinglossanunusualpresentationofneurobrucellosisacasereport AT ezzafatimatariq hearinglossanunusualpresentationofneurobrucellosisacasereport AT kcsaroj hearinglossanunusualpresentationofneurobrucellosisacasereport AT prabhatadhikari hearinglossanunusualpresentationofneurobrucellosisacasereport |