title: [Fever, leg swelling, coughing, and left upper quadrant pain in a 19-year-old woman].
abstract: Persistent fever and unspecific general symptoms need a complete and thorough medical history and search for infection. We report on a case of brucellosis (Malta fever) with involvement of organs in a 19-year-old woman. She had previously lived on a farm in Portugal for several weeks, where she had consumed self-produced goat cheese. After a latency period of several months, unspecific general symptoms, fever, monarthritis, an increase of transaminases, and a newly diagnosed cardiac murmur became apparent. After the serologic and cultural proof of brucellosis, the patient underwent an antibiotic combination therapy. Within 20 days she was free of symptoms and could be released.
authors.affiliation: Abteilung Innere Medizin, Medizinische Klinik I und konservative Notaufnahme, Henriettenstiftung, Marienstr. 72-90, 30171 Hannover, Deutschland. sebastian.fitzner@ddh-gruppe.de
authors.forename: S
authors.initials: S
authors.lastname: Fitzner
authors.forename: J
authors.initials: J
authors.lastname: Wohlfart
authors.forename: A
authors.initials: A
authors.lastname: Müller
authors.forename: A
authors.initials: A
authors.lastname: Stich
authors.forename: T
authors.initials: T
authors.lastname: Weiss
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002006:Brucellosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003371:Cough / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D003937:Diagnosis, Differential; D004487:Edema / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D005260:Female; D005335:Fever of Unknown Origin / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007866:Leg; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents