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[Fever and dry cough in a construction worker from Portugal]
P Wiesli1, M Flepp, P Greminger
1Medizinische Poliklinik, Universitätsspital Zürich.
Praxis
|July 30, 1997
Abstract:
A 33-year-old Portugese worker presented with a one-week history of nonproductive cough and fever. A presumptive diagnosis "viral infection of the respiratory tract" was made. However, because of persisting cough and fever further investigations were necessary, and finally Brucella melitensis was isolated in blood cultures. Three months before admission to the hospital the man was dressing the carcasses of a goat in Portugal and consumpted fresh goats milk cheese. Antibiotic therapy with Rifampicin and Trimethoprim/Sulfamethoxazol over 6 weeks improved the signs and symptoms of the infection.