Diagnosing Brucellosis
Epidemiological Exposures
- Endemic Regions
- Clinical Micro Lab Technicians
- Animal/Vaccine Exposure: Vets, Slaughterhouse workers, hunters
- Unpasteurized Dairy Consumption: Esp. non-fermented products (milk, soft cheese, ice cream)
Clinical Features
- Constitutional: Fevers (Undulating), Malaise, Night Sweats, Weight loss
- End Organ Complications: Osteoarticular (Sacroiliac joint), Cardiovascular (IE), Neurological, Ocular, Genitourinary
Diagnostic Tests:
- CBC + Chemistry: Anemia, Leukopenia/Leukocytosis, Thrombocytopenia, Transaminitis
- Radiology: Sacroiliitis / spondylitis
Diagnostics: Culture (blood, bone marrow, biopsy), Convalescent Serology (SAT, ELISA), 16S PCR
Dr. Ahmed Babiker @Ahmed_HBabiker
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