Hindawi Case Reports in Infectious Diseases Volume 2020, Article ID 5216249, 3 pages https://doi.org/10.1155/2020/5216249 Case Report A Case of Cerebral Granuloma and Optic Papillitis due to Brucella sp. A. Chiappe-Gonzalez 1,2 and A Solano-Loza2 1Hospital Nacional Dos de Mayo, Lima, Peru 2Cl´ınica Angloamericana, San Isidro, Peru Correspondence should be addressed to A. Chiappe-Gonzalez;
[email protected] Received 21 December 2019; Revised 18 April 2020; Accepted 29 June 2020; Published 18 July 2020 Academic Editor: Larry M. Bush Copyright © 2020 A. Chiappe-Gonzalez and A Solano-Loza. ,is is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We document a case of a 24-year-old woman who presented with cerebral granuloma and optic papillitis associated to Brucella sp. infection, whose diagnosis was made with a brain biopsy and serology tests, with clinical improvement following specific antibiotic therapy. ,e patient was followed up for over a year without evidence of relapse. 1. Introduction Seven months prior to presentation, she had been eval- uated for this complaint; a head computed tomography (CT) Brucellosis is a common zoonotic infection in many angiography was performed which showed a hypodense, right countries, including Mediterranean and Middle Eastern occipital lesion with ill-defined borders and peripheral con- countries. In Peru, the prevalence of brucellosis has been trast enhancement (Figure 1); the study was followed by a poorly documented, with higher frequency in the cities of brain magnetic resonance imaging (MRI), which confirmed Lima, Callao, and Ica probably due to the informal goat the presence of a solid cortical formation of about 0.7 cen- farming in these regions.