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[Brucellosis--diagnostic dilemmas--case report]
Biljana Bojić1, Milica Vujosević, Svetlana Nikolić
1Institute of Infectious and Tropical Diseases, Belgrade.
Srpski Arhiv Za Celokupno Lekarstvo
|August 6, 2002
Summary
Brucellosis, an infection from domestic animal products, can cause severe symptoms like fever and joint pain. Early diagnosis and antibiotic treatment lead to a full recovery without recurrence.
Area of Science:
- Infectious Diseases
- Microbiology
- Rheumatology
Background:
- Brucellosis is a zoonotic disease endemic in certain regions, posing a risk through consumption of contaminated dairy products.
- Clinical presentation can be varied, often including non-specific symptoms like fever, headache, and myalgia.
Observation:
- A 20-year-old student presented with fever, muscle/spine pain, headache, and malaise.
- Clinical examination revealed bilateral sacroiliitis, a characteristic complication.
- Serological tests confirmed brucellosis, with a history of consuming domestic animal dairy products from an endemic area.
Findings:
- The patient received a combination antibiotic therapy including aminoglycoside, doxycycline, and rifampicin.
- Symptomatic treatment and rehabilitation were also administered.
- The patient experienced a favorable outcome with no relapse of the disease.
Implications:
- Highlights the importance of specific microbiological testing for fever of unknown origin, especially with suggestive symptoms like sacroiliitis.
- Underscores the continued relevance of brucellosis in general medical practice in endemic regions.
- Demonstrates that prompt and appropriate treatment can lead to successful brucellosis management.