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VOLUME 53 , ISSUE 3 ( July-September, 2019 ) > List of Articles

CASE REPORT

Brucellosis: A Case Report and Literature Review

Mahnaz Hakeem, Sana Saeed

Keywords : Brucellosis, Pyrexia of unknown origin, Zoonotic disease

Citation Information : Hakeem M, Saeed S. Brucellosis: A Case Report and Literature Review. J Postgrad Med Edu Res 2019; 53 (3):126-127.

DOI: 10.5005/jp-journals-10028-1328

License: CC BY-NC 4.0

Published Online: 01-09-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Brucellosis is a major cause of febrile illnesses in areas with high exposure to animals or unpasteurized milk and dairy products. It may manifest with multisystem clinical presentations. Our patient was a six-year-old boy who was presented in emergency room with a prolonged history (3 weeks) of high-grade fever with chills, not responding to antibiotics. Upon inquiry, the history revealed the use of unpasteurized goat milk and contact with goats at home. Upon investigation, serum antibodies for brucellosis were raised (1:640). He was started on combination therapy with rifampicin and doxycycline. He became afebrile within two days so was discharged home. We found that an ineffective history could lead to delay in diagnosis and management. Clinicians should have high index of suspicion for brucellosis in children.


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