Trunnell T N, Waisman M, Trunnell T L
Cutis. 1985 Apr;35(4):379-81.
We report a case of a distinctive dermatitis in a dairy worker exposed to Brucella abortus while manually delivering an infected calf. The rapid onset of pruritus, the strict limitation of lesions to the upper extremities, and the negative results on growth of culture for microorganisms make direct bacterial infection an untenable cause in this case. Allergic hypersensitivity is the probable mechanism, manifesting itself initially as contact urticaria. Coincidentally our patient also had systemic brucellosis, the symptoms of which antedated and were unrelated to his cutaneous disease.
我们报告一例在人工接生一头感染布鲁氏菌的小牛时接触到流产布鲁氏菌的乳品工人所患的一种特殊皮炎病例。瘙痒迅速发作，皮损严格局限于上肢，微生物培养生长结果为阴性，这使得直接细菌感染在该病例中成为一个站不住脚的病因。过敏超敏反应可能是其机制，最初表现为接触性荨麻疹。巧合的是，我们的患者还患有全身性布鲁氏菌病，其症状先于皮肤疾病出现且与之无关。
