Bhatty Shaheen, Kumar Pawan, Javed Bareera, Zafar Amara
Internal Medicine, Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, PAK.
Cureus. 2020 Nov 5;12(11):e11345. doi: 10.7759/cureus.11345.
Brucellosis is commonly transmitted by consumption of unpasteurized dairy products and most commonly presents as fever, arthralgia, fatigue, hepatosplenomegaly, and peripheral arthritis. Our patient presented with a history of three months of high-grade fever, undocumented significant weight loss, jaundice, and hepatosplenomegaly. On the seventh day of admission, he developed sudden onset of shortness of breath, and his jugular venous pressure was raised with fine crackles at the lung bases bilaterally and pedal edema up to the ankles bilaterally. Electrocardiography was done, which showed T wave inversions in 1 and augmented Vector Left (aVL). Troponin I was raised at that time, and echocardiography revealed an ejection fraction of 40%. A diagnosis of myocarditis secondary to brucellosis was made.
布鲁氏菌病通常通过食用未巴氏消毒的乳制品传播，最常见的症状是发热、关节痛、疲劳、肝脾肿大和外周关节炎。我们的患者有三个月高热病史，体重显著下降（具体情况未记录）、黄疸和肝脾肿大。入院第七天，他突然出现呼吸急促，双侧颈静脉压升高，双肺底部可闻及细湿啰音，双侧踝关节以下出现足部水肿。进行了心电图检查，结果显示I导联T波倒置和左心室高电压。当时肌钙蛋白I升高，超声心动图显示射血分数为40%。诊断为布鲁氏菌病继发心肌炎。
