title: Fatal case of brucellosis misdiagnosed in early stages of Brucella suis infection in a 46-year-old patient with Marfan syndrome.
abstract: We report a fatal case of Brucella suis endocarditis initially misdiagnosed by automated identification systems as Ochrobactrum anthropi infection in a patient with a history of Marfan syndrome and recreational feral swine hunting. This report emphasizes the need to consider brucellosis as a part of the differential diagnosis of acute febrile illness, particularly in patients with known risk of exposure.
authors.affiliation: University of South Florida, Tampa, Florida, USA.
authors.forename: M
authors.initials: M
authors.lastname: Carrington
authors.forename: U
authors.initials: U
authors.lastname: Choe
authors.forename: S
authors.initials: S
authors.lastname: Ubillos
authors.forename: D
authors.initials: D
authors.lastname: Stanek
authors.forename: M
authors.initials: M
authors.lastname: Campbell
authors.forename: L
authors.initials: L
authors.lastname: Wansbrough
authors.forename: P
authors.initials: P
authors.lastname: Lee
authors.forename: G
authors.initials: G
authors.lastname: Churchwell
authors.forename: K
authors.initials: K
authors.lastname: Rosas
authors.forename: S R
authors.initials: SR
authors.lastname: Zaki
authors.forename: C
authors.initials: C
authors.lastname: Drew
authors.forename: C D
authors.initials: CD
authors.lastname: Paddock
authors.forename: M
authors.initials: M
authors.lastname: Deleon-Carnes
authors.forename: M
authors.initials: M
authors.lastname: Guerra
authors.forename: A R
authors.initials: AR
authors.lastname: Hoffmaster
authors.forename: R V
authors.initials: RV
authors.lastname: Tiller
authors.forename: B K
authors.initials: BK
authors.lastname: De
mesh_terms: D001331:Automation / Q000379:methods; D001431:Bacteriological Techniques / Q000379:methods; D041021:Brucella suis / Q000302:isolation & purification*; D002006:Brucellosis / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D003951:Diagnostic Errors; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*; D008875:Middle Aged; D020621:Ochrobactrum anthropi / Q000302:isolation & purification