Brucellosis differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Danitza Lukac
Overview
Brucellosis must be differentiated from typhoid fever, malaria, tuberculosis, lymphoma, dengue, leptospirosis and rheumatic diseases.[1]
Differentiating Brucellosis from other Diseases[edit | edit source]
Differential Diagnosis | Signs & Symptoms |
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Typhoid fever | High persistent fevers (104-105°F), particularly vespertine + constipation + relative bradycardia |
Malaria | Intermittent fever + chills + sweating + anorexia + nausea + cephalalgia + myalgia + normal CBC or thrombocytopenia and/or hemolytic anemia + hyperbilirubinemia + normal or mild elevated erythrocyte sedimentation rate + hepatosplenomegaly |
Tuberculosis | Night sweats + weight loss + dry or productive cough. |
Lymphoma | Painless superficial lymphadenopathy (cervical, supraclavicular, axillary or inguinal) + fever + night sweats + asthenia + weight loss + generalized pruritus |
Dengue | Fever + cephalalgia + retro orbital pain + myalgias + abdominal pain + arthralgia + cutaneous eruption + hemorrhagic manifestations |
Leptospirosis | Jaundice with no hepatosplenomegaly + leukocytosis + neutrophilia + elevated erythrocyte sedimentation rate |
Rheumatic Diseases | Protracted fever + weight loss + polyadenopathy + cough + thoracic pain + hemoptysis + dysphonia + weakness + ocular lesions. |
Reference
- ↑ 1.0 1.1 Enfermedades infecciosas: Brucelosis -Diagnóstico de Brucelosis,Guia para el Equipo de Salud. Ministerio de Salud-Argentina. http://www.msal.gob.ar/images/stories/bes/graficos/0000000304cnt-guia-medica-brucelosis.pdf. Accessed on February 2, 2016