关键词: brucella melitensis brucellosis coronavirus disease 2019 (covid-19) endemic infections hepatomegaly

来  源:   DOI:10.7759/cureus.15848   PDF(Pubmed)

Abstract:
The novel Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome Coronavirus-2, emerged in China in late 2019, and a variety of clinical symptoms and signs were reported following patients\' clinical presentation. By contrast, human Brucellosis is a worldwide zoonosis that may present with general symptoms including fever, dry cough, malaise, and arthralgia, making it indistinguishable from other causes of respiratory infection. Here, an 18-year-old man who was hospitalized with a suspected COVID-19 infection, but finally confirmed as having Brucellosis with positive blood culture for Brucella melitensis is presented. This case is a reminder for healthcare workers to consider the diagnosis of Brucellosis in patients exhibiting febrile syndromes in endemic regions during the COVID-19 pandemic.
摘要:
2019年新型冠状病毒病(COVID-19),由严重急性呼吸道综合征引起的冠状病毒-2于2019年底在中国出现,在患者出现临床表现后报告了各种临床症状和体征。相比之下,人类布鲁氏菌病是一种世界性的人畜共患病,可能会出现包括发烧在内的一般症状,干咳,萎靡不振,关节痛,使其与呼吸道感染的其他原因难以区分。这里,一名18岁男子因疑似COVID-19感染住院,但最终证实患有布鲁氏菌病,血液培养阳性。此病例提醒医护人员考虑在COVID-19大流行期间在流行地区表现出发热综合征的患者中诊断布鲁氏菌病。
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