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Table 1 Summary of the clinical features of the 13 patients with brucellosis

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