Granulomatous myositis associated with brucellosis: A case report and literature review

Authors

  • Suleiman Kojan MD, FACP,

    Corresponding author
    1. College of Medicine, King Saud bin Abdulaziz University, Riyadh 11481, Saudi Arabia
    2. Division of Neurology, King Abdulaziz Medical City, Riyadh, Saudi Arabia
    • College of Medicine, King Saud bin Abdulaziz University, Riyadh 11481, Saudi Arabia
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  • Adel Alothman MBBS, FRCPC,

    1. College of Medicine, King Saud bin Abdulaziz University, Riyadh 11481, Saudi Arabia
    2. Division of Infectious Diseases, Department of Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia
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  • Ziad Althani MBBS,

    1. Division of Neurology, King Abdulaziz Medical City, Riyadh, Saudi Arabia
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  • Ali Alshehri MBBS,

    1. Division of Neurology, King Abdulaziz Medical City, Riyadh, Saudi Arabia
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  • Nouf Mansour MBBS,

    1. Division of Neurology, King Abdulaziz Medical City, Riyadh, Saudi Arabia
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  • Ali Khathaami MBBS, FRCPC,

    1. College of Medicine, King Saud bin Abdulaziz University, Riyadh 11481, Saudi Arabia
    2. Division of Neurology, King Abdulaziz Medical City, Riyadh, Saudi Arabia
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  • Abdulrazzaq Haider MD,

    1. College of Medicine, King Saud bin Abdulaziz University, Riyadh 11481, Saudi Arabia
    2. Department of Pathology, King Abdulaziz Medical City, Riyadh, Saudi Arabia
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  • Mohammed Al-Jumah MBBS, FRCPC

    1. College of Medicine, King Saud bin Abdulaziz University, Riyadh 11481, Saudi Arabia
    2. Division of Neurology, King Abdulaziz Medical City, Riyadh, Saudi Arabia
    3. King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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Abstract

Brucellosis, a multisystem infectious disorder, continues to be a serious public health problem in some parts of the world. Neurobrucellosis constitutes about 4% of all brucellosis cases. Brucellosis-associated myositis is extremely rare, and there is only 1 reported case in the English literature. We report a 16-year-old boy with subacute, fluctuating, progressive muscle pain, with tenderness, swelling, and diffuse, asymmetric weakness. He also had significantly elevated serum Brucella titers and a muscle biopsy showed inflammatory granulomatous myositis. We review the literature on myositis associated with brucellosis. Muscle Nerve, 2012

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