Lee M K P, Fung K S C
Department of Pathology, United Christian Hospital, Kwun Tong, Hong Kong.
Hong Kong Med J. 2005 Oct;11(5):403-6.
Brucellosis is an infectious disease of humans and animals caused by Brucella species. We report on a 34-year-old housewife who presented with recurrent headache, fever, and malaise. Blood cultures yielded slow-growing gram-negative coccobacilli that were later identified as Brucella melitensis. The patient recalled handling goat placenta in China. She was prescribed a 6-week course of doxycycline and rifampicin. Laboratory staff who had been exposed to the isolate remained asymptomatic. The epidemiology, diagnosis, and treatment of brucellosis are discussed.
布鲁氏菌病是由布鲁氏菌属引起的人和动物的一种传染病。我们报告了一名34岁的家庭主妇,她出现反复头痛、发热和不适症状。血培养分离出生长缓慢的革兰氏阴性球杆菌,后来鉴定为羊种布鲁氏菌。患者回忆起在中国曾处理过山羊胎盘。她接受了为期6周的强力霉素和利福平治疗。接触该分离株的实验室工作人员仍无症状。本文讨论了布鲁氏菌病的流行病学、诊断和治疗。