Seow C J, Barkham T, Wong P M, Lin L, Pada S K, Tan S H
Department of General Medicine, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433.
Singapore Med J. 2009 Sep;50(9):e312-4.
Brucellosis, a zoonotic disease of worldwide distribution, is common in many developing countries as well as in countries of the Mediterranean basin. We report brucellosis in a 52-year-old man, who had a recent travel history to Saudi Arabia, and who presented with prolonged fever and deranged liver enzymes. In view of the rarity of brucellosis and its potential life-threatening complications, patients returning from an endemic country need to be questioned for possible Brucella exposure, to ensure that diagnostic tests and treatment are carried out in a timely fashion. In addition to notifying the authorities, the clinician should also warn the laboratory early as cultures of brucellosis are highly transmissible and are one of the most common laboratory-acquired infections.
布鲁氏菌病是一种在全球范围内分布的人畜共患病，在许多发展中国家以及地中海盆地国家都很常见。我们报告了一名52岁男性的布鲁氏菌病病例，该患者近期有前往沙特阿拉伯的旅行史，表现为长期发热和肝功能酶异常。鉴于布鲁氏菌病的罕见性及其潜在的危及生命的并发症，对于从流行国家归来的患者，需要询问其是否可能接触过布鲁氏菌，以确保及时进行诊断测试和治疗。除了通知当局外，临床医生还应尽早告知实验室，因为布鲁氏菌病的培养物具有高度传染性，是最常见的实验室获得性感染之一。
