Journal of Neurosciences in Rural Practice
Year : 2018  |  Volume : 9  |  Issue : 4  |  Page : 644-646

Neurobrucellosis presenting as acute psychosis

1 Department of Neurology, Government Medical College, Superspeciality Hospital, Srinagar, Jammu and Kashmir, India
2 Department of Psychiatry, Government Medical College, Srinagar, Jammu and Kashmir, India
3 Department of Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Irfan Ahmad Shah
Residential Block, Government Psychiatric Diseases Hospital, Srinagar - 190 003, Jammu and Kashmir
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jnrp.jnrp_16_18

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A 45-year-old female without any past or family history of psychiatric illness presented to the emergency department with complaints of abnormal behavior, irrelevant talking, restlessness, episodic crying, and decreased sleep of 2-day duration. On detailed interview, the attendants gave a history of an intermittent headache of 6-month duration and hearing impairment of 4-month duration. On investigation, her cerebrospinal fluid was reactive, and brucella titers were positive. She received appropriate treatment for 6 months and a short course of antipsychotics. Her symptoms settled, but she had persistent hearing loss. Psychosis as well as hearing loss is a very rare presentation of brucellosis. The case highlights the importance of considering neurobrucellosis as a differential diagnosis in patients with any unexplained neuropsychiatric symptoms such as acute psychosis or hearing loss.

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