A case report of brucellosis with fever and abdominal pain at onset
CHU He-Ling1, YANG Fei-Fei2, HUANG Yu-Xian2,3, JIN Jia-Lin2, ZHANG Wen-Hong2, WENG Xin-Hua2
1. Department of Neurology, Huashan Hospital, Fudan University, Shanghai 200040, China; 2. Department of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai 200040, China; 3．Shanghai Public Health Clinical Center Affiliated to Fudan University, Shanghai 201508, China
A case report of brucellosis with fever and abdominal pain at onset
CHU He-Ling1, YANG Fei-Fei2, HUANG Yu-Xian2,3, JIN Jia-Lin2, ZHANG Wen-Hong2, WENG Xin-Hua2
1. Department of Neurology, Huashan Hospital, Fudan University, Shanghai 200040, China; 2. Department of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai 200040, China; 3．Shanghai Public Health Clinical Center Affiliated to Fudan University, Shanghai 201508, China
摘要: Brucellosis is a zoonosis caused by Brucella, with an acute or chronic clinical infection. Clinical manifestations of brucellosis is various or atypical, which is easily misdiagnosed and miss-diagnosed. The case we have reported had an onset of fever and abdominal pain, associated with arthralgia, headache and rashes during the course, and was initially misdiagnosed as “acute cholangitis, associated with biliary pancreatitis”. According to epidemiology survey, radiological evidence, as well as blood culture and agglutination test showing Brucella positive, the diagnosis of brucellosis associated with splenic infarction and multiple organ involvement including lungs, skin and brain was made. After regular anti-brucellosis treatment, the patient’s symptoms were significantly improved. Brucellosis associated with splenic infarction is rare, which is possibly due to vasculitis resulting from Brucella infection.
Abstract：Brucellosis is a zoonosis caused by Brucella, with an acute or chronic clinical infection. Clinical manifestations of brucellosis is various or atypical, which is easily misdiagnosed and miss-diagnosed. The case we have reported had an onset of fever and abdominal pain, associated with arthralgia, headache and rashes during the course, and was initially misdiagnosed as “acute cholangitis, associated with biliary pancreatitis”. According to epidemiology survey, radiological evidence, as well as blood culture and agglutination test showing Brucella positive, the diagnosis of brucellosis associated with splenic infarction and multiple organ involvement including lungs, skin and brain was made. After regular anti-brucellosis treatment, the patient’s symptoms were significantly improved. Brucellosis associated with splenic infarction is rare, which is possibly due to vasculitis resulting from Brucella infection.
CHU He-Ling1, YANG Fei-Fei2, HUANG Yu-Xian2,3, JIN Jia-Lin2, ZHANG Wen-Hong2. A case report of brucellosis with fever and abdominal pain at onset[J]. 微生物与感染, 2015, 10(1): 51-53.
CHU He-Ling1, YANG Fei-Fei2, HUANG Yu-Xian2,3, JIN Jia-Lin2, ZHANG Wen-Hong2, WENG Xin-Hua2. A case report of brucellosis with fever and abdominal pain at onset. JOURNAL OF MICROBES AND INFECTIONS, 2015, 10(1): 51-53.
