[Brucellosis in a 3 month-old infant].
During the course of a bronchiolitis in a 3 month-old child, one blood culture yielded Brucella melitensis. The diagnosis of brucellosis is difficult in infancy because the symptoms are nonspecific and the disease may be mild and self-limited. The child received only breast milk and dietetic preparations. So, the detection in the maternal serum of a significant titer of Brucella agglutinin enabled us to consider the very rare human-to-human transmission from mother to child. Because the efficacy of ceftriaxone assessed by a favorable initial response, and in order to avoid complications due to the use of tetracyclines and cotrimoxazole in infant, our patient was successfully treated with ceftriaxone plus rifampin.
Varon
E
E
Services de Microbiologie et de Néonatologie, Hôpital Intercommunal de Créteil.
Cohen
R
R
Bouhanna
C A
CA
Canet
J
J
Janaud
J C
JC
Geslin
P
P
D001942:Breast Feeding; D002006:Brucellosis / Q000175:diagnosis* / Q000188:drug therapy / Q000635:transmission; D002443:Ceftriaxone / Q000627:therapeutic use; D005602:France; D006801:Humans; D007223:Infant; D008297:Male; D012293:Rifampin / Q000627:therapeutic use; D014421:Turkey / Q000208:ethnology
D002443:Ceftriaxone; D012293:Rifampin
Brucellose chez un nourrisson de 3 mois.