Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/3/2025

Neurobrucellosis Transmission and Prevention

Epidemiology and Prevention

  • Neurobrucellosis is more prevalent in regions where brucellosis is endemic, particularly areas with unpasteurized dairy consumption and occupational exposure to livestock 1, 2
  • The World Health Organization recommends avoiding consumption of unpasteurized dairy products to prevent neurobrucellosis 1, 2
  • The Centers for Disease Control and Prevention advises using appropriate personal protective equipment when handling potentially infected animals 6, 7
  • Proper laboratory safety protocols should be followed when handling Brucella specimens to prevent transmission 6, 7

Diagnosis and Treatment

  • The American Academy of Neurology suggests that MRI should be performed when spinal involvement is suspected in neurobrucellosis 3, 4
  • The standard regimen for neurobrucellosis typically includes doxycycline and rifampicin for at least 6 weeks, as recommended by the Infectious Diseases Society of America 5