Brucellosis: unusual presentations in two adolescent boys.
Two boys presented with variable signs and symptoms of infectious disease that challenged diagnosis. One of the two patients had aortic valve vegetations and lower extremity aneurysms, and the other had calvarial osteomyelitis, epidural abscess, pleural effusions, and pulmonary nodules. Only after a battery of bacterial and fungal agglutination tests was the unsuspected diagnosis made in each of brucellosis from Brucella canis.
Piampiano
P
P
Department of Radiology, Loma Linda University Children's Hospital, CA 92354, USA.
McLeary
M
M
Young
L W
LW
Janner
D
D
D000293:Adolescent; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D002002:Brucella / Q000302:isolation & purification; D002006:Brucellosis / Q000175:diagnosis / Q000382:microbiology; D013504:Cardiovascular Surgical Procedures; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D020802:Epidural Abscess / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D005625:Frontal Lobe; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D010502:Perineum / Q000098:blood supply; D011296:Prenatal Diagnosis; D003074:Solitary Pulmonary Nodule / Q000175:diagnosis* / Q000382:microbiology; D013396:Suction; D016909:Tibial Arteries; D014057:Tomography, X-Ray Computed