Bax H I, van Veelen M-L C, Gyssens I C, Rietveld A P
Department of Internal Medicine, Section of Infectious Diseases, Erasmus University Medical Centre Rotterdam, the Netherlands.
Neth J Med. 2007 Oct;65(9):352-5.
In the Netherlands, brucellosis is uncommon. Diagnosis is difficult and frequently delayed. We present three patients with back pain and/or arthralgia caused by brucellosis. We emphasise the importance of considering brucellosis in patients returning from a stay in a rural area of an endemic country, who present with osteoarticular symptoms and signs of chronic inflammation. Clues to the diagnosis come from a thorough medical history.
在荷兰,布鲁氏菌病并不常见。诊断困难且常常延迟。我们报告了三名由布鲁氏菌病引起背痛和/或关节痛的患者。我们强调,对于那些曾在布鲁氏菌病流行国家的农村地区停留后出现骨关节炎症状和慢性炎症体征的患者,考虑布鲁氏菌病诊断的重要性。诊断线索来自详尽的病史。