Hearing loss: an unusual presentation of neurobrucellosis: a case report

Hearing loss: an unusual presentation of neurobrucellosis: a case report

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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 NEFF T59TS5RN0 N90 92cm 5 Burners Induction Hob Touch Control Black 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 vent right 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.