Clinical aspects of chronic brucellosis.
Clinical aspects of chronic brucellosis.
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慢性布鲁氏菌病的临床方面。
DOI：
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发表时间：
1976
期刊：
影响因子：
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通讯作者：
A. V. van Rensburg
中科院分区：
文献类型：
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作者：
N. Sacks;A. V. van Rensburg
本文对21例布氏杆菌病患者进行了调查。4例具有急性布鲁氏菌病典型表现的患者在诊断上没有问题。其他17例患者患有慢性疾病，没有任何布鲁氏菌病急性发作史。这一组中最常见的症状是疲倦、疲劳、抑郁、关节痛和肌肉痛。部分患者有明显的腹痛和颞下颌关节疼痛。这些病人大部分曾接受精神科治疗。临床检查多为阴性，但9例有淋巴结肿大。7例主诉严重头痛的患者被诊断为布氏脑膜脑炎。本文讨论了慢性布鲁氏菌病起病隐匿的诊断问题。
Twenty-one patients with brucellosis wereinvestigated. Four patients with the classical manifestations of acute brucellosis presented no problems in diagnosis. The other 17 patients suffered from chronic disease and had no history of any acute episode of brucellosis. The most common symptoms in this group were tiredness, fatigue, depression, arthralgia and muscular pains. Abdominal pain and pain in the temperomandibular joints were marked in some patients. Most of these patients had been receiving psychiatric treatment. Clinical examination was largely negative, but lymphadenopathy was found in 9 cases. Brucella meningo-encephalitis was diagnosed in 7 patients who complained of severe headache. Problems in the diagnosis of chronic brucellosis with an insidious onset are discussed.