[Fever and dry cough in a construction worker from Portugal].
A 33-year-old Portugese worker presented with a one-week history of nonproductive cough and fever. A presumptive diagnosis "viral infection of the respiratory tract" was made. However, because of persisting cough and fever further investigations were necessary, and finally Brucella melitensis was isolated in blood cultures. Three months before admission to the hospital the man was dressing the carcasses of a goat in Portugal and consumpted fresh goats milk cheese. Antibiotic therapy with Rifampicin and Trimethoprim/Sulfamethoxazol over 6 weeks improved the signs and symptoms of the infection.
Wiesli
P
P
Medizinische Poliklinik, Universitätsspital Zürich.
Flepp
M
M
Greminger
P
P
D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents; D017347:Brucella melitensis / Q000187:drug effects; D002006:Brucellosis / Q000175:diagnosis* / Q000188:drug therapy / Q000635:transmission; D003371:Cough / Q000209:etiology*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005335:Fever of Unknown Origin / Q000209:etiology*; D005858:Germany; D006041:Goats / Q000382:microbiology; D006801:Humans; D008297:Male; D011174:Portugal / Q000208:ethnology; D012293:Rifampin / Q000008:administration & dosage; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000008:administration & dosage; D015047:Zoonoses
D000900:Anti-Bacterial Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D012293:Rifampin