Neurobrucellosis associated with feral swine hunting in the southern United States

Harry Ross Powers, Jared R. Nelson, Salvador Alvarez, Julio C. Mendez

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Article number238216
JournalBMJ case reports
Issue number12
StatePublished - Dec 21 2020


  • exposures
  • infection (neurology)
  • meningitis

ASJC Scopus subject areas

  • General Medicine


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