Göke M, Neurath M, Braunstein S, Daniello S, Knolle P, Dippold W, Meyer zum Büschenfelde K H
I. Department of Medicine, University of Mainz.
Z Gastroenterol. 1993 Nov;31(11):671-4.
A 34-year-old Turkish woman presented with septic fever, sweats, arthralgia, and abdominal pain. Further examination revealed generalized lymphadenopathy, hepatosplenomegaly, pancytopenia, and multiple caseous granulomas. Microbiological diagnosis revealed Brucella melitensis type 3 as causative agent. This case report demonstrates that abdominal pain can be a symptom in brucellosis, and caseous granulomas may occur. In our mobile society Brucella infection should be considered as possible differential diagnosis in patients with fever, lymphadenopathy, hepatosplenomegaly, and pancytopenia, although human brucellosis is rare in Germany and other Western countries.
一名34岁的土耳其女性出现败血症发热、盗汗、关节痛和腹痛。进一步检查发现全身淋巴结肿大、肝脾肿大、全血细胞减少以及多个干酪样肉芽肿。微生物学诊断显示3型羊布鲁氏菌为病原体。本病例报告表明，腹痛可能是布鲁氏菌病的症状，且可能出现干酪样肉芽肿。在我们这个流动性强的社会中，尽管在德国和其他西方国家人类布鲁氏菌病很少见，但对于发热、淋巴结肿大、肝脾肿大和全血细胞减少的患者，应考虑布鲁氏菌感染作为可能的鉴别诊断。
