[A 37-year-old patient with fever, dyspnea and elevated transaminases after a stay in Mexico].
METHODS
A 37-year-old patient with cephalgia and fever after his return from Mexico is reported. Due to persistently elevated transaminases, a liver biopsy was performed. Histological examination revealed hepatic involvement of a granulomatous disease. Serologic analyses detected anti-Brucella IgM. The suspected diagnosis was thus brucellosis taking the typical anamnesis into account. Treatment with rifampicin and doxycycline led to a complete convalescence of the patient.


CONCLUSIONS
Brucellosis is an anthropozoonosis that exists worldwide. Potential sources of infection are uncooked or unpasteurized milk and milk products of infected animals. Complete cure of most brucellosis-infected patients can be achieved by an early and adequate antibiotic treatment.
Schmid
Stephan A
SA
Klinik und Poliklinik für Innere Medizin I, Universitätsklinikum Regensburg, Regensburg, Germany. Stephan.Schmid@klinik.uni-regensburg.de
Birkenfeld
Gabriele
G
D000328:Adult; D000410:Alanine Transaminase / Q000097:blood*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood; D001219:Aspartate Aminotransferases / Q000097:blood*; D001706:Biopsy; D002002:Brucella / Q000276:immunology; D002006:Brucellosis / Q000175:diagnosis* / Q000473:pathology; D003131:Combined Modality Therapy; D004318:Doxycycline / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004417:Dyspnea / Q000209:etiology*; D005335:Fever of Unknown Origin / Q000209:etiology*; D006505:Hepatitis / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood; D008099:Liver / Q000473:pathology; D008111:Liver Function Tests; D008297:Male; D008800:Mexico; D012293:Rifampin / Q000627:therapeutic use; D014195:Travel; D018084:Ultrasonography, Interventional
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D007075:Immunoglobulin M; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase; D004318:Doxycycline; D012293:Rifampin
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