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Brucellosis: atypical presentation with peritonitis and meningitis
S M Diab1, G F Araj, A J al-Asfour
1Department of Medicine, Mubarak Al Kabeer Hospital, Kuwait.
Abstract:
A case of brucellosis associated with peritonitis, intestinal obstruction, granulomatous hepatitis, inappropriate antidiuretic hormone (ADH) secretion and meningitis is reported. Initially, the patient was diagnosed as a case of disseminated tuberculosis and treated accordingly. However, the serologic tests for brucellosis were strongly positive and the patient was subsequently treated as a case of brucellosis and recovered fully. The gastrointestinal manifestations of brucellosis are reviewed.