From: High index of suspicion for brucellosis in a highly cosmopolitan city in southern China
Case | Sex/Age | Occupation | Home town | Risk factor(s) | Presentation | Clinical findings | Complication | Clinical specimen with positive culture | Titer of Brucella Antibody | Treatment |
---|---|---|---|---|---|---|---|---|---|---|
1 | F/29y | Clerk | Henan | Contacted goat | Left hip pain for one month | Osteoarticular involvement | Arthritis | Joint fluid | Nil | Doxycycline× 3 months+Rifampin× 3 months+Gentamicin× 14 days |
2 | M/64y | Retired farmer | Heilongjiang | Contacted goat | Fever, night sweat and urinary urgency for one month | Fever, splenomegaly | Nil | Blood | 1:100 | Doxycycline×6 weeks+Gentamicin× 7 days |
3 | M/29y | Businessman | Guangdong | Consumed goat placenta | Fever for 20 days and testicular pain for one week | Fever | Epididymo-orchitis | Blood | Nil | Doxycycline×3 months+gentamiicin× 14 days+Rifampin× 3 months+Ceftriaxone× 14 days |
4 | M/59y | Unemployed | Heilongjiang | Nil | Fever, abdominal pain and urinary symptoms for one week | Fever, lymphadenopathy, splenomegaly | Intra-abdominal abscess | Blood | 1:200 | Doxycycline×2 days+Gentamicin×2 days |
5 | M/64y | Retired worker | Guangdong | Handled and consumed goat meat | Fever with chills and urinary symptoms for one month | Fever, lymphadenopathy | Spondylitis | Blood | 1:400 | Doxycycline×3 months+Rifampin× 3 months+Gentamicin×7 days |
6 | M/30y | Office worker | Inner Mongolia | Nil | Recurrent fever for 50 days | Fever, splenomegaly | Nil | Blood | Negative | Doxycycline×6 weeks+Gentamicin×7 days |
7 | F/51y | Retired farmer | Guangdong | Consumed goat placenta | Fever, severe lower back pain for half a year | Fever, splenomegaly | Nil | Blood | 1:400 | Doxycycline×6 weeks+Gentamicin×7 days |
8 | F/31y | Cosmetologist | Fujian | Consumed undercooked beef | Fever with low back pain for one month | Fever, splenomegaly | Spondylitis | Blood | 1:100 | Doxycycline×4 months+Rifampin×4 months+Gentamicin×14 days |
9 | F/44y | Pork peddler | Guangdong | Handled and consumed goat placenta | Recurrent lower grade fever for three months | Fever, lymphadenopathy, splenomegaly | Liver and splenic abscess | Blood | 1:100 | Doxycycline×3 months+Rifampin×3 months+Gentamicin×14 days |
10 | M/63y | Farmer | Shanxi | Raised goat | Fever and back pain for 10 days | Fever, lymphadenopathy, splenomegaly | Spondylitis | Blood | 1:200 | Doxycycline×3 months+Rifampin× 3 months+Gentamicin×14 days+Ceftriaxone× 9 days |
11 | F/33y | Bank clerk | Shanxi | Consumed undercooked beef | Recurrent fever for 17 days | Fever | Nil | Nil | 1:100 | Doxycycline×6 weeks+Rifampin×6 weeks |
12 | F/73y | Housewife | Guangdong | Handled and consumed goat placenta | Abdominal pain, low grade fever, dysuria, constipation, low back pain and weight loss one month | Fever, lymphadenopathy, splenomegaly | Possible abdominal aortitis | Blood | 1:100 | Doxycycline for long-term+Gentamiicin×14 days+Rifampin×6 weeks+Ceftriaxone× 6 weeks |
13. | M/56y | Salesman | Henan | Consumed undercooked beef | Recurrent fever with low back pain and chest wall pain | Fever, lymphadenopathy, splenomegaly | Spondylitis, chest wall abscess, osteomyelitis | Blood | 1:200 | Doxycycline×3 months+Rifampin× 3 months+Gentamicin× 14 days |