Brucellosis history and symptoms: Difference between revisions
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==Symptoms== | ==Symptoms== | ||
{| class="wikitable" | |||
! colspan="2" |Brucellosis | |||
|- | |||
|Acute brucellosis | |||
|Acute brucellosis may begin with mild [[flu]]-like symptoms, or symptoms such as:<ref>Colmenero JD, Reguera JM, Martos F, et al. Complications associated with Brucella melitensis infection: a study of 530 cases. Medicine (Baltimore) 1996; 75:195.</ref><ref>Mantur BG, Amarnath SK, Shinde RS. Review of clinical and laboratory features of human brucellosis. Indian J Med Microbiol 2007; 25:188.</ref><ref>Pappas G, Akritidis N, Bosilkovski M, Tsianos E. Brucellosis. N Engl J Med 2005; 352:2325.</ref><ref>Doganay M, Aygen B. Human brucellosis: An overview. Int J Infect Dis 2003; 7:173.</ref><ref>Young EJ. Brucellosis: current epidemiology, diagnosis, and management. Curr Clin Top Infect Dis 1995; 15:115.</ref><ref>Aygen B, Doganay M, Sumerkan B, et al. Clinical manifestations, complications and treatment of brucellosis: a retrospective evaluation of 480 patients. Med Malad Infect 2002; 32:485.</ref><ref>Geyik MF, Gür A, Nas K, et al. Musculoskeletal involvement of brucellosis in different age groups: a study of 195 cases. Swiss Med Wkly 2002; 132:98.</ref><ref>Mousa AM, Bahar RH, Araj GF, et al. Neurological complications of brucella spondylitis. Acta Neurol Scand 1990; 81:16.</ref><ref>Pappas G, Bosilkovski M, Akritidis N, et al. Brucellosis and the respiratory system. Clin Infect Dis 2003; 37:e95.</ref><ref>Herrick JA, Lederman RJ, Sullivan B, et al. Brucella arteritis: clinical manifestations, treatment, and prognosis. Lancet Infect Dis 2014; 14:520.</ref> | |||
Systemic symptoms | |||
*[[Undulant fever]] | |||
**High fever spikes usually occur every afternoon | |||
*[[Night sweats]] | |||
**Often with characteristic smell, likened to wet hay | |||
*[[Chills]] | |||
*[[Fatigue]] | |||
*[[Loss of appetite]] | |||
*[[Weakness]] | |||
*[[Weight loss]] | |||
[[Clinical depression|Depression]] | |||
Focal organ wise symptoms: | |||
* Muscuoskeletal: Joint pain(Commonly in low back and larger joints of lower limbs) | |||
* Genitourinary: Pain in the genital region and increase in frequency of urination/burning senation while passing urine(2 to 20 percent of cases) | |||
* Pulmonary: Cough, chest pain, difficulty in breathing(pulmonary involvement present upto 7 percent of patients) | |||
* Gastrointestinal: Abdominal pain and symptoms of [[hepatitis]] can be present in 3-6 percent of presenting patients | |||
* Neurological: Headache, confusion or altered sensorium(meningoencephalitits), loss of sensation(radiculopathies) can be present in 2-7 percent of patients | |||
* Cardiacvascular: Chest pain is presenting rare cardiovascular feature in brucellosis | |||
* Ocular: Difficulty in vision and Dimenision of vision | |||
* Dermatology: Rash, ulcer or tender swelling can present with brucellosis upto 10 percent of patient | |||
|- | |||
|Relapse | |||
| | |||
|- | |||
|Chronic Brucellosis | |||
|Presence of clinical manifestation for more then one year after established diagnosis of brucellosis is considered as chronic brucellosis. | |||
Clincial manifestations include: | |||
Uveitis: patients complains of difficulty of vision | |||
Spondylitis, osteomyelitis, Arthralgias: patients complains of pain in joints or joint movement | |||
Intermittent sweating | |||
|} | |||
==References== | ==References== | ||
Revision as of 15:44, 4 January 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2] Danitza Lukac
Overview
Symptoms of brucellosis include undulant fever, night sweats (with characteristic smell, likened to wet hay), and joint pain.[1]
Symptoms
| Brucellosis | |
|---|---|
| Acute brucellosis | Acute brucellosis may begin with mild flu-like symptoms, or symptoms such as:[2][3][4][5][6][7][8][9][10][11]
Systemic symptoms
Focal organ wise symptoms:
|
| Relapse | |
| Chronic Brucellosis | Presence of clinical manifestation for more then one year after established diagnosis of brucellosis is considered as chronic brucellosis.
Clincial manifestations include: Uveitis: patients complains of difficulty of vision Spondylitis, osteomyelitis, Arthralgias: patients complains of pain in joints or joint movement Intermittent sweating |
References
- ↑ Brucellosis. Wikipedia. https://en.wikipedia.org/wiki/Brucellosis. Accessed on February 4, 2016
- ↑ Colmenero JD, Reguera JM, Martos F, et al. Complications associated with Brucella melitensis infection: a study of 530 cases. Medicine (Baltimore) 1996; 75:195.
- ↑ Mantur BG, Amarnath SK, Shinde RS. Review of clinical and laboratory features of human brucellosis. Indian J Med Microbiol 2007; 25:188.
- ↑ Pappas G, Akritidis N, Bosilkovski M, Tsianos E. Brucellosis. N Engl J Med 2005; 352:2325.
- ↑ Doganay M, Aygen B. Human brucellosis: An overview. Int J Infect Dis 2003; 7:173.
- ↑ Young EJ. Brucellosis: current epidemiology, diagnosis, and management. Curr Clin Top Infect Dis 1995; 15:115.
- ↑ Aygen B, Doganay M, Sumerkan B, et al. Clinical manifestations, complications and treatment of brucellosis: a retrospective evaluation of 480 patients. Med Malad Infect 2002; 32:485.
- ↑ Geyik MF, Gür A, Nas K, et al. Musculoskeletal involvement of brucellosis in different age groups: a study of 195 cases. Swiss Med Wkly 2002; 132:98.
- ↑ Mousa AM, Bahar RH, Araj GF, et al. Neurological complications of brucella spondylitis. Acta Neurol Scand 1990; 81:16.
- ↑ Pappas G, Bosilkovski M, Akritidis N, et al. Brucellosis and the respiratory system. Clin Infect Dis 2003; 37:e95.
- ↑ Herrick JA, Lederman RJ, Sullivan B, et al. Brucella arteritis: clinical manifestations, treatment, and prognosis. Lancet Infect Dis 2014; 14:520.