Mousa A R, Elhag K M, Khogali M, Marafie A A
Department of Medicine, Al Adan Hospital, Safat, Kuwait.
Rev Infect Dis. 1988 Jan-Feb;10(1):211-7. doi: 10.1093/clinids/10.1.211.
Three hundred seventy-nine Kuwaiti patients with brucellosis were admitted to Adan General Hospital, Kuwait, during the period 1984-1985. Of these 231 were males and 148 were females. Diagnosis was based on symptoms and signs compatible with the disease and on the detection of significantly elevated antibody titer and/or positive blood culture. The primary means of exposure were the consumption of raw milk and contact with goats, sheep, or camels. Patients most frequently presented with fever (91%), chills (40%), sweats (39%), gastrointestinal symptoms (30%), headache (23%), respiratory symptoms (23%), and musculoskeletal symptoms (22%). The major signs were osteoarticular involvement (37%), hepatosplenomegaly (27%), and lymphadenopathy (9%). Different regimens of treatment were used, but the highest rate of cure was achieved with triple therapy--tetracycline, streptomycin, and rifampin.
1984年至1985年期间，379名科威特布鲁氏菌病患者被收治于科威特阿丹综合医院。其中男性231名，女性148名。诊断依据为与该病相符的症状和体征，以及检测到显著升高的抗体滴度和/或血培养呈阳性。主要接触途径是饮用生奶以及接触山羊、绵羊或骆驼。患者最常出现的症状为发热（91%）、寒战（40%）、盗汗（39%）、胃肠道症状（30%）、头痛（23%）、呼吸道症状（23%）和肌肉骨骼症状（22%）。主要体征为骨关节受累（37%）、肝脾肿大（27%）和淋巴结病（9%）。采用了不同的治疗方案，但三联疗法（四环素、链霉素和利福平）的治愈率最高。
