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Brucellosis in older person: a case report from Qatar
Hanadi Khamis Al Hamad1, Navas Nadukkandiyil1, Mohammed Al Husami1
1Department of Geriatric Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Summary
Brucellosis, a rare elderly disease in Qatar, was diagnosed in an 81-year-old man presenting with fever and pain. Prompt treatment prevented complications, highlighting the need for considering Brucellosis in geriatric fever cases.
Area of Science:
- Infectious Diseases
- Geriatric Medicine
- Clinical Case Study
Background:
- Brucellosis is a multisystem disease with non-specific symptoms, rarely seen in the elderly population of Qatar.
- This case highlights the importance of considering Brucellosis in geriatric patients presenting with prolonged, non-specific symptoms.
Observation:
- An 81-year-old Qatari male presented with 10 days of high-grade fever, chills, anorexia, low back pain, and arthralgia.
- Laboratory findings included elevated CRP (117 mg/l), low hemoglobin (9.1 g/dl), and mild ALP elevation.
- Blood culture confirmed *Brucella melitensis* with a high antibody titer (1:1280).
Findings:
- The patient's presentation mimicked pyrexia of unknown origin, a common manifestation of Brucellosis in the elderly.
- Diagnosis was confirmed via serological testing and blood culture, with high Brucella antibody titers indicating active infection.
- Anemia and elevated CRP were significant laboratory abnormalities.
Implications:
- Early diagnosis and treatment of Brucellosis in the geriatric population are crucial to prevent severe disease progression and complications.
- This case underscores the need for including Brucellosis in the differential diagnosis for unexplained fever in elderly patients.
- Optimal assessment and timely intervention are key for managing Brucellosis in Qatar's geriatric population.
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