A neurobrucellosis case presenting with bilateral facial nerve palsy and peripheral neuropathy

Neurobrucellosis is an uncommon complication of pediatric brucellosis. Direct invasion of the central nervous system occurs in about 5% of the cases of Brucella melitensis infection. Meningitis or meningoencephalitis are the most common manifestations. Neurobrucellosis may rarely affect second, third, sixth, seventh and the eighth cranial nerves. Peripheral nerve involvement is also rarely seen in pediatric neurobrucellosis. Here we reported is a twelve years old girl presented with bilateral peripheral facial nerve palsy and peripheral neuropathy. This case is an unusual presentation of neurobrucellosis in pediatric population. Our report emphasizes that neurobrucellosis should be kept in mind in the cases with atypical neurologic manifestations in endemic regions. © 2015 by Türkiye Klinikleri