A Case Report published in the Journal of Medical Case Reports discusses a rare case of neurobrucellosis that presented with hearing loss and persistent headache in a 40-year-old Asian male shepherd from Nepal.
]. We treated the patient with a combination of Doxycycline and Streptomycin, instead of Rifampicin, as it is the reserved drug for tuberculosis in our country.
Brucellosis is often misdiagnosed as malaria, tuberculosis, and typhoid fever which may cause mistreatment and under-reporting in Nepal. Our case met the diagnostic criteria of Neurobrucellosis; therefore, this is the first case reported from Nepal, with sensorineural hearing loss and headache as a manifestation of the disease.
Since Brucellosis is a zoonotic disease, we suggest clinicians collaborate with veterinarians who are involved in identification and treatment of infected animals, as this will help prevent further transmission to humans. This is also the core of the “One Health Policy” by World Health Organization in controlling zoonotic diseases []. The government should expand the testing capacity for Brucellosis all over Nepal and prioritize this infectious disease.
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