AN OVERVIEW OF HUMAN BRUCELLOSIS

AN OVERVIEW OF HUMAN BRUCELLOSIS
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DOI:
10.1093/clinids/21.2.283
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发表时间:
1995-08-01
影响因子:
11.8
通讯作者:
YOUNG, EJ
YOUNG, EJ
中科院分区:
医学1区
文献类型:
--
作者:
YOUNG, EJ

文献摘要

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不久前,德克萨斯州农村的一位农民向当地的医生抱怨发烧,盗汗,疲劳和背痛。他提到,他的牛因邦氏病(牛布鲁氏菌病)而被隔离,他认为他也患有这种疾病。当他被发现没有发烧,也没有其他客观的疾病迹象时,他的抱怨被认为是一个可能的”流感“病例而被驳回。“几个月后,他因脊椎骨髓炎住院,从骨组织中分离出流产布鲁氏菌。由于布鲁氏菌病现在在美国很少见,医生可能不熟悉这种人畜共患感染的临床表现、诊断方法和治疗方案。
Not long ago a farmer in rural Texas presented to a local practitioner complaining of fever, night sweats, fatigue, and back pain. He mentioned that his cattle were under quarantine for Bang's disease (bovine brucellosis) and that he believed he too had the disease. When he was found to be afebrile and to have no other objective signs of disease, his complaints were dismissed as a likely case of the" flu." Several months later he was admitted to a hospital because of vertebral osteomyelitis, and Brucella abortus was isolated from bone tissue. Since brucellosis is now rare in the United States, physicians may be unfamiliar with the clinical manifestations, methods for diagnosis, and options for treatment of this zoonotic infection.