- Timeline.
| Dates | Past medical history |
|---|---|
| 35 years old female patient not known to have any medical or psychiatric illness. | |
| Current illness | |
| May 2020 | Patient started to have on and off headache, numbness of the left hand, blurred vision, night sweats. |
| 08 June 2020 | Patient presented to ER with psychiatric symptoms in form of behavioral changes, inappropriate speech. Patient was admitted under psychiatry department and was discharged in good condition after 3 days. |
| 23 June 2020 | The patient visited our neurology clinic for the first time where a detailed history and examination were made. |
| Physical examination | |
| 23 June 2020 | within normal limits |
| Diagnostic evaluation | |
| 24 June 2020 | Brucella antibody test in blood sample: positive for abortus and melitensis, CSF analysis: demonstrates Leukocytosis with predominant lymphocytosis. |
| 28 June 2020 | Diagnosis was made. |
| Initial treatment | |
| 28 June 2020 | Rifampicin 600 mg OD, doxycycline 100 mg BID, and moxifloxacin 400 mg OD. |
| Ongoing treatment | |
| 06 August 2020 | Moxifloxacin was administered for 6 weeks, then stopped, and continued on rifampicin and doxycycline for a total of 12 weeks with a frequent follow up with infectious disease and neurology clinics. |
| Final follow up | |
| 06 August 2020 | Follow up spinal tap after one month reported normal cell count. Patient completed her antibiotic course for more 6 weeks with significant improvement. |