Pappas Georgios, Bosilkovski Mile, Akritidis Nikolaos, Mastora Maria, Krteva Liliana, Tsianos Epaminondas
Department of Internal Medicine, University Hospital of Ioannina, Ioannina, Greece.
Clin Infect Dis. 2003 Oct 1;37(7):e95-9. doi: 10.1086/378125. Epub 2003 Sep 8.
Brucellosis is a zoonotic disease that remains endemic worldwide. Its clinical manifestations and focal complications are often troublesome in making a diagnosis. Involvement of the respiratory system in brucellosis is an acknowledged but rare event that is only occasionally described in literature. We describe 37 cases of respiratory involvement during the course of brucellosis that presented as pneumonia, bronchopneumonia, pleural effusion with a predominance of monocytic or lymphocytic infiltrates, and paroxysmal dry cough. We also discuss aspects of the respiratory pathology, radiological characteristics, coexisting complications, and aspects of treatment of respiratory brucellosis.
布鲁氏菌病是一种人畜共患疾病,在全球范围内仍然流行。其临床表现和局部并发症在诊断时常常令人困扰。布鲁氏菌病累及呼吸系统是一种公认但罕见的情况,在文献中仅有偶尔的描述。我们描述了37例布鲁氏菌病病程中出现呼吸系统受累的病例,表现为肺炎、支气管肺炎、以单核细胞或淋巴细胞浸润为主的胸腔积液以及阵发性干咳。我们还讨论了呼吸病理学、放射学特征、并存并发症以及呼吸性布鲁氏菌病的治疗方面。