al Faraj S
Riyadh Armed Forces Hospital, Saudi Arabia.
J R Soc Med. 1995 Feb;88(2):91-2.
Abdominal involvement in brucellosis is seen in the acute, subacute and chronic disease. It is not typical, however, that acute abdomen is the presenting feature of brucellosis. In this paper, two cases of serologically diagnosed brucellosis are reported, both presenting initially with acute abdomen and fever. In brucella-endemic regions of the world, brucellosis has to be considered in the differential diagnosis of acute abdomen and fever. With definitive diagnosis, unnecessary laparotomy can be avoided.
布鲁氏菌病累及腹部可见于急性、亚急性和慢性疾病。然而，以急腹症为布鲁氏菌病的首发特征并不常见。本文报告了两例血清学确诊的布鲁氏菌病病例，均最初表现为急腹症和发热。在世界上布鲁氏菌病流行地区，急腹症和发热的鉴别诊断中必须考虑布鲁氏菌病。明确诊断后，可避免不必要的剖腹手术。
