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Unusual Presentations of Pediatric Neurobrucellosis

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  • Pediatric Infectious Disease Unit, Department of Radiology, Pediatrics Department, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
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Neurobrucellosis is an uncommon complication of pediatric brucellosis. Acute meningitis and encephalitis are the most common clinical manifestations, however symptoms may be protean and diagnosis requires a high index of suspicion in patients from endemic areas. Diagnosis is often based on neurological symptoms, serology, and suggestive brain imaging because cerebrospinal fluid culture yields are low. Two cases of pediatric neurobrucellosis with unusual clinical and radiologic findings are presented.

Author Notes

*Address correspondence to Inbal Fuchs, Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer-Sheva, Israel 84101. E-mail: fuksen@bgu.ac.il

Authors' addresses: Isolda Budnik and David Greenberg, Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer-Sheva, Israel, E-mails: isolbudnik@gmail.com and dudi@bgu.ac.il. Inbal Fuchs, Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer-Sheva, Israel, E-mail: fuksen@bgu.ac.il. Ilan Shelef, The Department of Radiology, Soroka University Medical Center, Beer-Sheva, Israel, E-mail: IlanS@clalit.org.il. Hana Krymko, The Pediatrics Department, Soroka University Medical Center, Beer-Sheva, Israel, E-mail: HanaKr@clalit.org.il.

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