An endemic disease in the emergency department; Bruscellosis
2nd International Critical Care and Emergency Medicine Congress, Antalya, Türkiye, 16 - 19 Nisan 2015, ss.279, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Basıldığı Şehir: Antalya
- Basıldığı Ülke: Türkiye
- Sayfa Sayıları: ss.279
- Dokuz Eylül Üniversitesi Adresli: Evet
Özet
INTRODuCTION: Brucellosis is a worldwide zoonotic disease; associated with many complications, which still remains as a major health problem in many developing countries around the world and transmitted to humans by consumption of unpasteurized animal milk, or through direct contact with infected animals. Skeletal system involvement is the most common source of complaints in brucellosis, Laboratory diagnosis often requires specialist microbiology investigations that are not widely available, and serology tests that only become positive during convalescence, Optimal clinical management requires a good history, awareness of local endemic diseases, an understanding of the features that may help distinguish different causes and appropriate use of empirical antibiotics. In this report, we describe a case with acute brucellosis who was referred to our emergency department. CASE: A 35 year old male patient who was admitted with high fever, night sweating, fatigue and arthralgia for a period of three weeks. The symptoms was refractory to NSAIDs or other analgesics. There was history of consumption herby cheese (called “Otlu peynir” in Turkish) which is widely produced and consumed in eastern parts of Turkey. At physical examination, he seemed a little exhausted and his fever was 38.7°C. Laboratory evaluation; which included the presence of anemia (hemoglobine;12.8 g/dL), Leukopenia (3.4 × 103/μL), elevated C-reactive protein (4.420 mg/dl) and sedimentation rate (22 mm/h), there was also hepatomegaly (159 mm) in abdominal USG, Rose Bengal test was positive, Wright test positive at 1/320. The patient was admitted to infectious disease clinic with diagnosis of acute brucellosis. The patient was treated with doxycycline, rifampicin, streptomycin and indometacin successfully. CONCLuSION: The potential for brucellosis should always be kept in mind in patients who present with fever, malaise, sweating, arthralgia, and joint swelling especially those living in areas where brucellosis is endemic.