Sharda D C, Lubani M
Clin Pediatr (Phila). 1986 Oct;25(10):492-5. doi: 10.1177/000992288602501002.
Two hundred children with brucellosis are described. The clinical characteristics on presentation included prolonged fever, arthralgia, weight loss, and malaise in the majority of the patients. Biochemical characteristics included a relative lymphocytosis in 92.9 percent of the patients and elevated liver enzymes in 83.5 percent. The Brucella agglutination titer was 1:320 or more in all the cases studied, but repeated blood cultures yielded growth of Brucella organisms in only 42 percent of the patients. Brucellosis is an important cause of fever in children living in areas where Brucella-infected animals are raised. Consumption of raw milk or dairy products made from raw milk are the main sources of infection. Education of the public and governmental control are necessary to eradicate the disease.
本文描述了200例布鲁氏菌病患儿。就诊时的临床特征包括大多数患者出现长期发热、关节痛、体重减轻和不适。生化特征包括92.9%的患者有相对淋巴细胞增多，83.5%的患者肝酶升高。所有研究病例的布鲁氏菌凝集效价均为1:320或更高，但重复血培养仅在42%的患者中培养出布鲁氏菌。布鲁氏菌病是生活在饲养感染布鲁氏菌动物地区儿童发热的重要原因。饮用生牛奶或由生牛奶制成的乳制品是主要感染源。公众教育和政府管控对于根除该疾病很有必要。
