1Professor, 2Assistant Professor, 3Post Graduate, Department of Medicine, Kamineni Institute of Medical Sciences, Narketpally,
Background: :Brucellosis is rare in A.P and high degree of suspicion is necessary to identify this disease.
Patient: A 23 years old male farmer, presented with headache, vomiting, and paresthesias. Severe occipital
headache.On physical exam illness, weakness, fever, wet skin, soft spleenomegaly were detected. He had
positive Wright test (1/1250) and lymphocytic pleocytosis in CSF. Three drug regimen and steroid (1st month)
were administered for 2 months and he responded well to this therapy.
Conclusion: Our patient showed progressive improvement in neurological manifestations under steroid and
3 antibiotic regimen treatment over a period of 2 months which along with history of goat milk consumption
confirmed our diagnosis of Neurobrucellosis.