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[Miliary and reticulo-nodular pulmonary brucellosis].

N Gattas1, N Loberant, D Rimon

  • 1Medical Dept. B, Western Galilee Regional Hospital, Nahariya.

Harefuah
|July 27, 2000
PubMed
Summary

Brucellosis, a zoonotic disease, rarely causes pneumonia. This report details the first Israeli case of miliary pneumonia caused by Brucella, confirmed by sputum cultures and serology.

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Area of Science:

  • Infectious Diseases
  • Pulmonology
  • Microbiology

Background:

  • Brucellosis is a zoonotic infection caused by Brucella bacteria, typically presenting with fever and musculoskeletal symptoms.
  • While brucellosis can affect multiple organ systems, pulmonary involvement, particularly pneumonia, is uncommon.
  • The genus Brucella comprises Gram-negative bacilli responsible for this zoonotic disease.

Observation:

  • A rare case of miliary and reticulo-nodular pneumonia due to Brucella infection is presented.
  • The patient exhibited positive blood and sputum cultures for Brucella, alongside positive serological tests.
  • This represents the first reported instance of miliary pneumonia with sputum-positive Brucella in Israel.

Findings:

  • Confirmation of Brucella infection in a patient with miliary and reticulo-nodular pneumonia.
  • Identification of Brucella in both blood and sputum samples, indicating systemic and pulmonary dissemination.
  • Positive serological results supporting the diagnosis of brucellosis.

Implications:

  • Highlights the potential for Brucella to cause severe pulmonary disease, even in regions where it's not endemic.
  • Emphasizes the importance of considering brucellosis in the differential diagnosis of unexplained pneumonia, especially with relevant exposure history.
  • Underscores the diagnostic value of sputum cultures and serology in identifying pulmonary brucellosis.

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