Guillaume G, Sternon J
Rev Med Brux. 1989 Mar;10(3):101-5.
A diagnostic argument in favour of brucellosis can be depicted in the various appearances of osteo-articular complications providing that one has at one's disposal the correct case history (exposure to contagion), some hemocultures (positive in nearly 60% of acute and subacute cases) and a battery of serological tests. Arthritis of the big toe is exceptional in this context, be it in the severe and destructive form or in the mild and transient form. The authors describe a case of this latter type in a farmer and present a review of the literature concerning the osteo-articular complications of Brucellosis.
只要掌握正确的病史(接触传染源情况)、一些血培养结果(在近60%的急性和亚急性病例中呈阳性)以及一系列血清学检测结果,就可以根据骨关节并发症的各种表现来做出支持布鲁氏菌病的诊断论证。在这种情况下,无论大脚趾关节炎是严重且具有破坏性的形式还是轻微且短暂的形式,都是罕见的。作者描述了一名农民身上出现的后一种类型的病例,并对有关布鲁氏菌病骨关节并发症的文献进行了综述。