Hassan Muad Abdi, Noor Fatima, Salehi Aram, Al Hariri Bassem
Medical Education Department, Hamad Medical Corporation, Doha, Qatar.
Department of Medicine, Hamad Medical Corporation, Doha, Qatar.
Heliyon. 2024 Feb 17;10(4):e26612. doi: 10.1016/j.heliyon.2024.e26612. eCollection 2024 Feb 29.
Brucellosis is a zoonotic infection that is widely spread across the world. It is becoming more common in Middle Eastern countries such as Qatar, Saudi Arabia, and the Mediterranean region. Despite this, we need to remain vigilant as it is still prevalent in many parts of the world. The most common presentation is musculoskeletal, but it can also present as septic arthritis in the sacroiliac, hip, or knee joints. Brucella melitensis was only found in one extended culture of synovial fluid. Treatment involved a combination of antimicrobial therapy using gentamycin, doxycycline, and rifampin. A high level of suspicion for brucellosis is necessary for any patient coming from an endemic region with non-specific and chronic arthritis to ensure early diagnosis and treatment. In this case, we present a 28-year-old male who was diagnosed with Brucellosis after developing acute septic arthritis.
布鲁氏菌病是一种人畜共患感染病，在全球广泛传播。在卡塔尔、沙特阿拉伯等中东国家以及地中海地区，这种病正变得越来越常见。尽管如此，我们仍需保持警惕，因为它在世界许多地区仍然普遍存在。最常见的表现是肌肉骨骼方面的，但也可能表现为骶髂关节、髋关节或膝关节的化脓性关节炎。仅在一份滑膜液的延长培养物中发现了羊种布鲁氏菌。治疗采用庆大霉素、强力霉素和利福平联合抗菌疗法。对于任何来自地方病流行区且患有非特异性慢性关节炎的患者，高度怀疑布鲁氏菌病对于确保早期诊断和治疗至关重要。在此病例中，我们介绍一位28岁男性，他在患上急性化脓性关节炎后被诊断为布鲁氏菌病。
