Samra Y, Shaked Y, Hertz M, Altman G
Infection. 1983 Nov-Dec;11(6):310-2. doi: 10.1007/BF01641353.
We have reviewed 38 patients with brucellosis who were admitted to the Chaim Sheba Medical Center between 1955 and 1977, i.e. during a 23-year period. The clinical manifestations varied greatly. Diagnosis was easy when brucellosis was suspected, as in cases presenting with fever of unknown origin. In nine of the 38 cases diagnosis was difficult and delayed for several weeks since brucellosis was not suspected. Some of these cases will be described in detail. The diagnosis was established in 16 patients by isolating Brucella melitensis and in the other 22 by serological tests. There were no relapses in the 26 patients treated with a combination of streptomycin and tetracycline; two of the 12 patients treated with tetracycline alone relapsed. Brucellosis should be considered when clinical manifestations are puzzling.
我们回顾了1955年至1977年期间（即23年期间）入住海姆·谢巴医疗中心的38例布鲁氏菌病患者。临床表现差异很大。当怀疑患有布鲁氏菌病时，诊断很容易，比如不明原因发热的病例。在这38例病例中，有9例诊断困难且延迟了数周，因为一开始没有怀疑布鲁氏菌病。其中一些病例将详细描述。16例患者通过分离出羊布鲁氏菌确诊，另外22例通过血清学检测确诊。接受链霉素和四环素联合治疗的26例患者未复发；仅接受四环素治疗的12例患者中有2例复发。当临床表现令人困惑时，应考虑布鲁氏菌病。
