Brucellosis history and symptoms: Difference between revisions

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Revision as of 14:53, 5 December 2012

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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]

Acute brucellosis may begin with mild flu-like symptoms, or symptoms such as:

High fever spikes usually occur every afternoon. The name "undulant" fever is because the fever rises and falls in waves.

Other symptoms that may occur with this disease:

The illness may be chronic and last for years.

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 The illness may be chronic and last for years.
-In first stage of the disease, septicaemia occurs and leads to the classic triad of undulant fevers, sweating (often with characteristic smell, likened to wet hay) and migratory [[arthralgia]] and [[myalgia]]. In blood tests, is characteristic the leukopenia and anemia, some elevation of AST and ALT and positivity of classic Bengal Rose and Huddleson reactions. This complex is, at least in Portugal known as the Malta fever.
-During episodes of Malta fever, melitococcemia (presence of brucellae in blood) can usually be demonstrated by means of blood culture in tryptose medium or Albini medium.
-If untreated, the disease can give origin to focalizations or become chronic.
-The focalizations of brucellosis occur usually in bones and joints and spondylodisciitis of lumbar spine accompanied by [[sacroiliitis]] is very characteristic of this disease. [[Orchitis]] is also frequent in men.
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