[Brucellosis presenting as acute abdomen].
Usually symptoms of brucellosis are nonspecific and characterized by a wide range of complaints. Although the disease in Israel is almost exclusively food borne (caused by Brucella melitensis in unpasteurized goat milk products) so the main route of infection is the gastrointestinal tract, but gastrointestinal complications are rare, and only sporadic cases of ileitis or colitis have been described. We present a 43-year-old woman with an acute abdomen, probably due to diverticulitis. It was diagnosed only after blood cultures were positive for Brucella melitensis. We believe that its protean manifestations should be considered in addition to the other bizarre presentations of this disease, important in our region.
Dept. of Medicine B, HaEmek Medical Center, Afula.
N
N
Kaufman
N
N
Reichman
E
E
Flatau
D000006:Abdomen, Acute / Q000209:etiology*; D000328:Adult; D000818:Animals; D017347:Brucella melitensis / Q000302:isolation & purification; D002006:Brucellosis / Q000175:diagnosis* / Q000635:transmission; D005260:Female; D006041:Goats; D006801:Humans; D008892:Milk / Q000382:microbiology