en Neurology Neurology case report case report <p style="line-height: 115%; text-indent: 0in; margin-top: 0in; margin-right: 0in; margin-bottom: 0pt;"><font face="Times New Roman"><b><i><span style="color: blue; line-height: 115%; font-size: 10pt;">Background: </span></i></b><span style="line-height: 115%; font-size: 10pt;"><font color="#000000">Brucellosis is a zoonotic infection which is endemic in many countries. It is a multisystem disease which may present with a broad spectrum of clinical manifestations and complications. Neurobrucellosis&nbsp;is an uncommon complication of brucellosis.</font></span></font></p> <p style="line-height: 115%; text-indent: 0in; margin-top: 0in; margin-right: 0in; margin-bottom: 0pt;"><font face="Times New Roman"><b><i><span style="color: blue; line-height: 115%; font-size: 10pt;">Case presentation:</span></i></b><font color="#000000"><span style="line-height: 115%; font-size: 10pt;"> A 25-year-old woman with a history of lupus for 5 months referred to the emergency ward of Shahid Beheshti Hospital of Qom due to vertigo, drop attack and a convulsion episode from the previous day. She was unable to move at initial evaluation, and her upper and lower extremities were spastic. She had blurred vision one day after admission.</span><span arial="" style="line-height: 115%; font-size: 10pt;" unicode=""> Based on her past history and suspecting </span><span style="line-height: 115%; font-size: 10pt;">neurological pulmonary presentations</span><span arial="" style="line-height: 115%; font-size: 10pt;" unicode="">, </span><span style="line-height: 115%; font-size: 10pt;">treatment with</span><span arial="" style="line-height: 115%; font-size: 10pt;" unicode=""> </span><span style="line-height: 115%; font-size: 10pt;">immunosuppressive drugs </span><span arial="" style="line-height: 115%; font-size: 10pt;" unicode="">was started</span><span style="line-height: 115%; font-size: 10pt;"> and brain MRI was performed. According to the MRI mode and endemic area, neurobrucellosis was suspected and 2ME and Wright tests were performed. Wight test was 1.5120 while 2ME test was 1.640 which were strongly positive. So, with neurobrucellosis diagnosis, the patient was treated but unfortunately 4 days later, after respiratory apnea, she was pronounced dead.</span></font></font></p> <p style="line-height: 115%; text-indent: 0in; margin-top: 0in; margin-right: 0in; margin-bottom: 0pt;"><font face="Times New Roman"><b><i><span style="color: blue; line-height: 115%; font-size: 10pt;">Conclusion: </span></i></b><span style="line-height: 115%; font-size: 10pt;"><font color="#000000">In endemic areas for brucellosis, neurobrucellosis&nbsp;should always be kept in mind in the differential diagnosis of neurological and psychiatric cases that are encountered.</font></span></font></p> Neurobrucellosis, systemic lupus erythematosus 119 122 http://caspjim.com/browse.php?a_code=A-10-38-6&slc_lang=en&sid=1 Jamshid Vafaeimanesh jvafaeemanesh@muq.ac.ir 10031947532846008488 10031947532846008488 No Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran Alireza Shahhamzeh ashahhamzeh@yahoo.com 10031947532846008489 10031947532846008489 No Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran Mohammad Bagherzadeh m_bagherzadeh3@yahoo.com 10031947532846008490 10031947532846008490 Yes Clinical Research Development Center, Qom University of Medical Sciences, Qom, Iran