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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
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Brucella pleuritis misdiagnosed as tuberculous pleuritis: a case report
Yong Yang1,2,3, Ke-Liang Liu1,2,3, Rui Zhao1,2,3
1Baotou City Central Hospital, Pulmonary and Critical Care Medicine, 61 Ring Road, Donghe District, Baotou, Inner Mongolia, China.
The Journal of International Medical Research
|July 31, 2023
Summary
Brucella infection can cause pleurisy and pleural effusion, often misdiagnosed as tuberculosis. Prompt diagnosis and treatment of brucellosis are crucial for effective management and recovery.
Area of Science:
- Infectious Diseases
- Pulmonology
- Internal Medicine
Background:
- Pleurisy and pleural effusion due to Brucella infection are uncommon presentations.
- Clinicians may lack awareness, leading to potential misdiagnosis of Brucella-related pleurisy.
Observation:
- A 52-year-old male farmer presented with fever, chest pain, and dyspnea.
- Pleural fluid analysis revealed elevated adenosine deaminase (ADA) and lymphocytic predominance, initially suggesting tuberculosis.
- Brucella infection was confirmed via pleural fluid culture and serological testing (Brucella agglutination titer 1:400).
Findings:
- The patient was diagnosed with brucellosis complicated by pneumonia and pleurisy.
- Following 12 weeks of oral antibiotic treatment, chest radiographs showed complete resolution of pleural effusion and pneumonia.
- The patient experienced symptomatic improvement and excellent short-term treatment outcomes.
Implications:
- Brucellosis should be considered in the differential diagnosis of pleurisy, especially in endemic areas.
- Early and accurate diagnosis of Brucella-associated pleurisy can prevent misdiagnosis and ensure appropriate treatment.
- This case highlights the importance of considering rare etiologies for pleural diseases.
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