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Brucellosis mimicking enteric fever.

Ayşe Erbay1, Hürrem Bodur, Esragül Akinci

  • 1Department of Infectious Diseases and Clinical Microbiology, Ankara Numune Education and Research Hospital, Ankara, Turkey. ayseerbay@gmail.com

Journal of Infection in Developing Countries
|September 18, 2009
PubMed
Summary

Brucellosis, an infection typically spread orally, can present with varied symptoms. This case highlights Brucella melitensis causing enteric fever, emphasizing its diverse clinical manifestations.

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Internal Medicine

Background:

  • Brucellosis is a zoonotic infection transmitted orally, primarily affecting the gastrointestinal tract initially.
  • Systemic manifestations are common in brucellosis, often overshadowing gastrointestinal symptoms.
  • Brucella melitensis is a significant cause of human brucellosis worldwide.

Observation:

  • A patient presented with symptoms clinically resembling enteric fever.
  • Gastrointestinal complaints were noted, but systemic symptoms were also present.
  • Diagnostic investigations confirmed the presence of Brucella melitensis.

Findings:

  • The patient was diagnosed with enteric fever caused by Brucella melitensis.
  • This presentation underscores the gastrointestinal involvement in brucellosis.
  • The case illustrates a less common but significant clinical manifestation of Brucellosis.

Implications:

  • Clinicians should consider brucellosis in the differential diagnosis of enteric fever, especially in endemic areas.
  • Recognizing gastrointestinal presentations of brucellosis is crucial for timely diagnosis and treatment.
  • Further research into the pathogenesis and varied clinical presentations of Brucellosis is warranted.