title: Zoonotic brucellosis: an underestimated or misdiagnosed disease in Egypt.
abstract: Over six months, 329 suggestive consecutive brucellosis human cases were diagnosed in attending the out-patients clinics of Al-Azhar and Ain Shams Universities Hospitals and Giza Governorate Farmers. They were 100 females and 229 males with ages ranged between 15-65 years old. A total of 213 (64.75%) were working in dairy farm and/or consumed raw milk, 16 (14.85%) used home slaughtering of sheep, and 100 (30.4%) were working in Giza Government slaughter-house. Clinically and by ELISA-IgM 259 out of 329 the subjects were proven brucellosis patients (77.8%). Besides, other patients had toxoplasmosis, or schistosomiasis mansoni or fascioliasis. Double infection was encountered with toxoplasmosis and either schistosomiasis or fascioliasis. The causes of endemic liver parasitosis that may give false-clinical diagnosis were excluded. Signs and symptoms of brucellosis patients were fever (91.5%), chills (84.1%), Myalgia (69.5%), headache (58.2%), fatigue (77.2%), anorexia (54.1%), tachycardia (38.6%), hepato-and/or splenomegaly (46.2%), lymphadenopaqthy (19.6%) lower back abdominal pain (8.8%) and/or constitutive symptoms (13.1%).
authors.affiliation: Department of Tropical Medicine, Faculty of Medicine, Al-Azhar University, Nasr City, Egypt.
authors.forename: Mohamed Tolba
authors.initials: MT
authors.lastname: El-Metwally
authors.forename: Mohamed A
authors.initials: MA
authors.lastname: Elwan
authors.forename: Mamdouh M
authors.initials: MM
authors.lastname: El-Bahnasawy
authors.forename: Hazem H M
authors.initials: HH
authors.lastname: Khalil
authors.forename: Ahmad A A
authors.initials: AA
authors.lastname: Sabah
authors.forename: Ayman T A
authors.initials: AT
authors.lastname: Morsy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D000907:Antibodies, Bacterial / Q000097:blood; D002006:Brucellosis / Q000175:diagnosis* / Q000453:epidemiology*; D003951:Diagnostic Errors; D004534:Egypt / Q000453:epidemiology; D004797:Enzyme-Linked Immunosorbent Assay / Q000379:methods; D005260:Female; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012680:Sensitivity and Specificity; D012756:Sheep; D055815:Young Adult; D015047:Zoonoses / Q000453:epidemiology* / Q000382:microbiology / Q000635:transmission
chemical_list: D000907:Antibodies, Bacterial; D007075:Immunoglobulin M