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Neurobrucellosis associated with feral swine hunting in the southern United States
  1. Harry Ross Powers,
  2. Jared R Nelson,
  3. Salvador Alvarez and
  4. Julio C Mendez
  1. Division of Infectious Diseases, Mayo Clinic, Jacksonville, Florida, USA
  1. Correspondence to Dr Julio C Mendez; Mendez.Julio{at}


Although uncommon, Brucella infection can occur outside the areas of high endemicity, such as the USA. In the southern USA, hunters of wild swine are at risk for brucellosis. We present a case of a patient with fever, headache and constitutional symptoms that were ongoing for 11 months. He was diagnosed with neurobrucellosis. The patient was treated successfully with intravenous ceftriaxone, oral doxycycline and oral rifampin therapy. He had persistent neurological sequelae after completing treatment. This case illustrates the high index of suspicion needed to diagnose neurobrucellosis in a non-endemic country because initial symptoms can be subtle. The disease can be treated successfully, but long-lasting neurological sequelae are common.

  • meningitis
  • infection (neurology)
  • exposures

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  • Contributors HRP: wrote manuscript. JRN: wrote manuscript. SA: edited manuscript and provided mentorship. JCM: edited manuscript and provided mentorship.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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