Is brucellosis a great mimic of tuberculosis? A case report.
Aged
Anti-Bacterial Agents
/ administration & dosage
Brucella
/ immunology
Brucellosis
/ complications
Diagnosis, Differential
Doxycycline
/ administration & dosage
Drug Therapy, Combination
Enzyme-Linked Immunosorbent Assay
Female
Fever
/ etiology
Humans
Rifampin
/ administration & dosage
Tuberculosis, Pulmonary
/ diagnosis
Journal
European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology
ISSN: 1435-4373
Titre abrégé: Eur J Clin Microbiol Infect Dis
Pays: Germany
ID NLM: 8804297
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
25
01
2020
accepted:
07
04
2020
pubmed:
26
4
2020
medline:
2
4
2021
entrez:
26
4
2020
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 32333224
doi: 10.1007/s10096-020-03902-y
pii: 10.1007/s10096-020-03902-y
doi:
Substances chimiques
Anti-Bacterial Agents
0
Doxycycline
N12000U13O
Rifampin
VJT6J7R4TR
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM