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Brucellosis in immigrants in Denmark.

Nanna Eriksen1, Lars Lemming, Niels Højlyng

  • 1Department of Internal Medicine, Roskilde Hospital, Roskilde, Denmark.

Scandinavian Journal of Infectious Diseases
|August 28, 2002
PubMed
Summary

Brucellosis is a rare bacterial infection. Four cases of Brucella abortus bacteremia in Denmark highlight diagnostic challenges due to vague symptoms and language barriers, emphasizing the importance of blood cultures.

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Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Public Health

Background:

  • Brucellosis, caused by Brucella species, is uncommon in Northern Europe.
  • Timely diagnosis and treatment are crucial for managing Brucella infections.

Observation:

  • Four cases of Brucella abortus bacteremia occurred in Denmark between 1999 and 2000.
  • Patients presented with non-specific symptoms, leading to delayed diagnosis.
  • Language barriers contributed to incomplete medical histories.

Findings:

  • Blood cultures were essential for diagnosing Brucella abortus bacteremia.
  • The infection was not initially suspected by healthcare providers.
  • Fever of unknown origin prompted blood cultures.

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Implications:

  • Highlights the need for increased awareness of Brucellosis in non-endemic areas.
  • Emphasizes the importance of thorough patient history and diagnostic testing, including blood cultures, for fever of unknown origin.
  • Suggests improved communication strategies are needed to overcome language barriers in healthcare settings.