Rigatos G A, Kappos-Rigatou I
Wien Klin Wochenschr. 1977 Jan 21;89(2):43-5.
Brucellosis remains a problem in many rural areas of Greece. A case report is given of 50 patients with brucellosis treated at the regional hospital of an endemic area. Various forms of fever were observed; a raised temperature was universal. Sweating and joint pains were prominent general symptoms. The most common local findings were arthritis, orcheoepididymitis and osteomyelitis. More rarely, rashes, bronchitis, difficulty in micturition and paraesthesiae were found. Routine laboratory investigations were of no diagnostic help, but the serum agglutination reaction according to Wright is diagnostic of brucellosis at high titres. An equally successful therapeutic result was achieved with streptomycin in conjunction with tetracyclines or with the combined preparation of sulphamethoxiazole and trimethoprim.
布鲁氏菌病在希腊的许多农村地区仍然是个问题。本文报告了在一个疫区的地区医院接受治疗的50例布鲁氏菌病患者。观察到各种发热形式;体温升高是普遍现象。出汗和关节疼痛是突出的一般症状。最常见的局部表现是关节炎、睾丸炎附睾炎和骨髓炎。较少见的有皮疹、支气管炎、排尿困难和感觉异常。常规实验室检查无助于诊断,但根据赖特氏法进行的血清凝集反应在高滴度时可诊断布鲁氏菌病。链霉素联合四环素或磺胺甲恶唑与甲氧苄啶的复方制剂治疗效果同样良好。