Recurrent Pyrexia, Brucellosis, Underdiagnosis: The Puzzle Triad Untangled By Blood Cultures – The Benchmark Tool Coming To Aid
Journal Title: GCSMC Journal of Medical Sciences - Year 2017, Vol 6, Issue 1
Abstract
Introduction: Aim: Materials & Method: Results: Conclusion: Human brucellosis, a zoonotic disease is common in India. In spite of high prevalence, the disease usually remains under diagnosed or misdiagnosed. To evaluate & establish the significance of blood culture for diagnosis of brucellosis. A study of 10 patients of brucellosis diagnosed by blood culture were evaluated retrospectively, for the various clinical & laboratory profiles, during the period of 2014-17. All the ten patients, positive for brucellosis by blood culture were having history of fever. Other clinical presentations were - abdominal pain (n=6,60%), vomiting (n=5,50%), headache (n=1,10 %), generalized body ache (n=1,10%), anorexia (n=1,10%), joint pain (n=1,10%), cough (n= 1,10%), mild splenomegaly (n=2,20%), mild hepatomegaly (n=1,10%), mild to gross hepatosplenomegaly (n=3,30%). In all the cases, Brucella spp. were recovered from patient's blood culture & identified within 7 days of sample collection. The time-to- detection of BACTEC blood culture system (positive indication) was 3-5 days. A high level of clinical suspicion & proper blood culture remains the gold standard for early diagnosis of brucellosis
Authors and Affiliations
Urvesh Shah, Manisha Dhamecha, Neha Patel, Afroz Bloch, Shivani Mehta, Shruti Shah
Keywords
Related Articles
- EP ID EP290382
- DOI -
- Views 68
- Downloads 0
A Case of Bilateral Ovarian Dermoid Cysts
A dermoid cyst (also called as “mature teratoma”) is a sac like growth that may be present at birth. It contains structures such as hair, fluid, teeth or skin glands that can be found on or in the skin. In some cases;esp...
A Sole t(10;19)(p11.2;p12) in AML-ETO negative AML-M2 paediatric patient: First novel case from India
Acute myeloid leukemia (AML) is a heterogeneous group of disorders with regards to its pathology and molecular genetics features. The translocation t(8;21)(q22;q22), which results in the fusion of the AML and ETO genes,...
Study of Pattern of Donor Deferral in Tertiary Hospital Blood Bank of India
Background: Blood transfusion saves millions of life all over the world every year. Shortage of blood donors has always been a problem throughout the world. In blood transfusion services many potential blood donors are d...
Incidence of Internal Mammary Nodes in Locally Advanced Breast Cancer and Its Prognostic Significance
Objective: (1) To determine the incidence of internal mammary nodal disease on computed tomography (CT) in patients with locally advanced breast cancer (LABC). (2)To determine the prognostic significance of internal mamm...
Study of Results of Unreamed Tibia Interlocking Nail in Open Tibia Fractures
Objective: The purpose of the present study was to assess the outcome of compound fractures of tibia managed by UNREAMED interlocking intramedullary nailing with primary closure of open wound. Materials and Methods: This...