Challoner K R, Riley K B, Larsen R A
Department of Emergency Medicine, Los Angeles County/University of Southern California Medical Center 90033.
Am J Emerg Med. 1990 Jan;8(1):40-2. doi: 10.1016/0735-6757(90)90293-9.
A 36-year-old Hispanic man came into the emergency department with nonspecific symptoms (headache, myalgias, low-grade temperature, and low white blood cell count) and was diagnosed with brucella meningitis. The patient said he had consumed unpasteurized goat's milk and cheese in Mexico, and had been treated 3 months previously for a febrile illness diagnosed as Malta fever (brucellosis). Cultures of both the blood and cerebrospinal fluid yielded Brucella melitensis. Blood agglutinin results for B abortus were positive at greater than 1:160. Unpasteurized milk and cheese are consumed in many countries where brucellosis is endemic. Emergency physicians are occasionally confronted with patients from developing countries with diseases that require rapid and specific diagnosis for optimal treatment.
一名36岁的西班牙裔男子因非特异性症状（头痛、肌痛、低热和白细胞计数低）进入急诊科，被诊断为布鲁氏菌性脑膜炎。患者称他在墨西哥饮用了未经巴氏杀菌的山羊奶和奶酪，3个月前曾因被诊断为马耳他热（布鲁氏菌病）的发热性疾病接受治疗。血液和脑脊液培养均检出羊种布鲁氏菌。流产布鲁氏菌的血凝集素结果大于1:160呈阳性。在许多布鲁氏菌病流行的国家，人们会饮用未经巴氏杀菌的牛奶和食用未经巴氏杀菌的奶酪。急诊科医生偶尔会遇到来自发展中国家的患者，他们所患疾病需要快速、明确的诊断以进行最佳治疗。
