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Psychosis as an Early Presentation of Neuro-Brucellosis

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Bru cell osis is an endemic zoonot ic infectious disease in Middle East countries including Iran . This infection may involve central nervous system. Psychosis has been reported in rare cases with chronic brucellosis. A 26-year-old male shepherd pati ent who developed neurobrucell osis and psychosis is presented. He had hallucinations (v isual and auditory) and delusions. He was also impulsive and had serious difficulty in speech. In patients with atypical psychosis in endemic areas, physicians shouId consider the portabiIity of chronic bruceIlosis.

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