Department of Pathology, Princess Margaret Hospital, Laichikok, Hong Kong.
Hong Kong Med J. 2010 Aug;16(4):299-303.
A retrospective analysis of six patients diagnosed with brucellosis in two regional hospitals was carried out. The epidemiological, clinical, and laboratory features were studied. All patients had exposure history. Three patients presented with musculoskeletal symptoms, while three had predominantly genitourinary symptoms. One patient did not have fever at presentation. All patients were diagnosed by positive blood culture of Brucella melitensis, and the diagnosis was not suspected for all except one patient at presentation. Given the inferior sensitivity of blood culture to serology, human brucellosis may be underdiagnosed, especially when the index of suspicion is low.
对两家地区医院诊断的 6 例布氏杆菌病患者进行了回顾性分析。研究了其流行病学、临床和实验室特征。所有患者均有接触史。3 例患者表现为肌肉骨骼症状，3 例主要为泌尿生殖系统症状。1 例患者就诊时无发热。所有患者均通过布鲁氏菌 melitensis 阳性血培养诊断，除 1 例患者外，就诊时均未怀疑该诊断。鉴于血培养对血清学的敏感性较低，人类布鲁氏菌病的诊断可能不足，尤其是在怀疑指数较低时。
