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Vol. 53. Núm. 3.
Páginas 280-282 (septiembre 2000)
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Vol. 53. Núm. 3.
Páginas 280-282 (septiembre 2000)
Acceso a texto completo
Meningitis como primera y única manifestación de brucelosis
Meningitis As The First And Only Manifestation Of Brucellosis
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11184
H. González Garcíaa,
Autor para correspondencia
med010461@nacom.es

Servicio de Pediatría. Hospital Medina del Campo. Ctra. de Peñaranda, s/n. 47400 Medina del Campo. Valladolid.
, J.E. Fernández Alonsoa, M. de Paz Garcíaa, C. Ramos Sánchezb, B. Aguirre Gervásc
a Servicios de Pediatría. Medina del Campo.Valladolid
b Microbiología. Medina del Campo.Valladolid
c Análisis Clínicos. Hospital Medina del Campo. Medina del Campo.Valladolid
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Niña de 8 años de edad que ingresó por un cuadro agudo de meningitis "a líquido claro", sin síntomas previos. El padre es pastor y había antecedentes familiares de brucelosis, pero la paciente no ingería lácteos sin higienizar ni colaboraba en el cuidado de animales. La evolución clínica no correspondió a la habitual de las meningitis virales o bacterianas parcialmente tratadas. Se aisló Brucella melitensis en LCR y sangre. Con tratamiento específico (doxiciclina y rifampicina) la evolución fue favorable. Es posible que la paciente se infectara por vía inhalatoria o transmucosa, por contacto con ropas usadas por los familiares que cuidaron de animales infectados. Estas vías de contagio han de tenerse presente en los familiares que contactan en el hogar con ropas o utensilios de los cuidadores. La presencia de meningitis como primera y única manifestación de brucelosis es excepcional, tanto en la edad pediátrica como en el adulto.

Palabras clave:
Meningitis
Brucelosis
Neurobrucelosis
Meningitis de líquido claro

An 8-year-old girl with no previous symptoms was admitted to hospital with aseptic meningitis syndrome. The girl's father is a shepherd and there was a familial antecedent of brucellosis, but the patient did not consume unpasteurized goat milk products nor did she take part in the care of the sheep stock. The clinical evo-lution did not follow the usual development of a viral or partially treated bacterial meningitis. Brucella melitensis was isolated in the cerebrospinal fluid and blood. Specific treatment (doxycycline and rifampin) produced favorable evolution. The patient may have been infected through the respiratory tract or mucous membranes, or by contact with clothes used by other members of the household who looked after infected animals. These forms of infection should be considered in family members who come into contact with the clothes of those caring for animals and with other utensils used by them. Meningitis as the only sign of brucellosis is exceptional both in children and in adults.

Keywords:
Meningitis
Brucellosis
Neurobrucellosis
Aseptic meningitis
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BibliografÍa
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Copyright © 2000. Asociación Española de Pediatría
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