[Brucellosis and rheumatic fever]

Brucellosis and Acute Rheumatic Fever can not be verified by only clinical manifestations and the pattern of joint involvement. Four patients presented below had high fever, sweats, severe arthralgia and swelling of one or multiple joints, elevated sedimentation rate and positive C - reactive protein test and even leukocytosis. Therefore they were treated with anti - rheumatic drugs for 4 to 7 days after onset till brucellosis was considered or its specific tests became positive.