title: Unusual presentation of culture positive brucellosis.
abstract: We have reviewed the clinical presentation of 100 consecutive culture positive cases of brucellosis which came under our care during the last two years. Of these, six had atypical presentations and but for the routine practice of sending blood for brucella culture, the diagnosis would have been missed. The unusual presentations included a 19 year old boy presenting as an acute abdomen ending in laparotomy, a 52 year old man presenting with a psoas abscess, a 29 year old woman presenting with a transient perinephric mass, a 75 year old man with an acute flare up of his osteoarthritis, a 65 year old diabetic man presenting in an insulin-resistant diabetic state and a 35 year old man presenting with a cauda equina syndrome.
authors.affiliation: Department of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia.
authors.forename: R V
authors.initials: RV
authors.lastname: Jayakumar
authors.forename: A K
authors.initials: AK
authors.lastname: Al-Aska
authors.forename: N
authors.initials: N
authors.lastname: Subesinghe
authors.forename: S G
authors.initials: SG
authors.lastname: Wright
mesh_terms: D000328:Adult; D000368:Aged; D002006:Brucellosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D004318:Doxycycline / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013307:Streptomycin / Q000627:therapeutic use
chemical_list: D004318:Doxycycline; D013307:Streptomycin