TY - JOUR
T1 - Brucellosis
T2 - Differential diagnosis of acute abdominal pain
AU - Goke, M.
AU - Neurath, M.
AU - Braunstein, S.
AU - Daniello, S.
AU - Knolle, P.
AU - Dippold, W.
AU - Meyer Zum Buschenfelde, K. H.
PY - 1993
Y1 - 1993
N2 - 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.
AB - 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.
KW - abdominal pain
KW - brucella melitensis
KW - caseous epitheliod cell granulomas
KW - human brucellosis
UR - http://www.scopus.com/inward/record.url?scp=0027364815&partnerID=8YFLogxK
M3 - Article
C2 - 8291280
AN - SCOPUS:0027364815
SN - 0044-2771
VL - 31
SP - 671
EP - 674
JO - Zeitschrift fur Gastroenterologie
JF - Zeitschrift fur Gastroenterologie
IS - 11
ER -