Is brucellosis a great mimic of tuberculosis? A case report
| Autor: | Fotios Barkas, Dimitrios Sfairopoulos, Persefoni Margariti, Evangelos C Rizos, Stavroula Tsiara, Constantinos Tsioutis, Aris P. Agouridis, Evangelia E. Ntzani |
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| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Microbiology (medical) medicine.medical_specialty Tuberculosis Osteolysis Fever 030106 microbiology Enzyme-Linked Immunosorbent Assay Brucella Brucellosis Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Medical microbiology Pharmacotherapy medicine Humans 030212 general & internal medicine Fever of unknown origin Tuberculosis Pulmonary Aged biology business.industry General Medicine medicine.disease biology.organism_classification Dermatology Anti-Bacterial Agents Agglutination (biology) Infectious Diseases Doxycycline Drug Therapy Combination Female Rifampin business |
| Zdroj: | European journal of clinical microbiologyinfectious diseases : official publication of the European Society of Clinical Microbiology. 39(9) |
| ISSN: | 1435-4373 |
| Popis: | Tuberculosis (TB) can manifest prolonged fever or fever of unknown origin, especially when it is located extrapulmonary. We report a case of disseminated TB complicated by iliac bone osteolysis and a gluteal abscess in a 75-year-old female patient with fever and bone marrow dysplasia. Diagnosis of TB was made despite transient false-positive high-titer agglutination tests and ELISA antibodies to Brucella. The case presented shows that in a highly suggestive case of TB, positive agglutination tests or ELISA antibodies to Brucella should be interpreted with caution, and repeated testing should be performed to assess their persistence and fluctuation over time. |
| Databáze: | OpenAIRE |
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