Kant G D, van Lijf J H, Karthaus R P
Afd. Interne Geneeskunde, Medisch Spectrum Twente, Enschede.
Ned Tijdschr Geneeskd. 1994 Dec 24;138(52):2584-7.
In a 72-year-old Dutchman Brucellae suis spondylodiscitis TXII-LI was diagnosed, complicated by a paraspinal abscess, for which surgical drainage was carried out. The patient failed to recover after the combined antibiotic regimen of doxycycline, rifampicin and trimethoprim-sulfamethoxazole. There was good clinical improvement after a course of doxycycline and streptomycin, however. After a symptom-free period of 9 weeks a relapse occurred. The patient refused treatment and died 6 weeks later at home. The infection had probably been contracted after handling wild boar carcasses from eastern Europe.
一名72岁的荷兰男子被诊断出患有猪布鲁氏菌性胸12至腰1脊椎间盘炎，并伴有椎旁脓肿，为此进行了外科引流。在接受强力霉素、利福平及甲氧苄啶-磺胺甲恶唑联合抗生素治疗后，患者未能康复。然而，在接受一个疗程的强力霉素和链霉素治疗后，临床症状有了明显改善。在无症状9周后，病情复发。患者拒绝治疗，6周后在家中死亡。感染可能是在处理来自东欧的野猪尸体后发生的。
