Brucellosis Misdiagnosed as Gouty Arthritis:A Case Report and Literature Review
YAN Yi-min
HUANG Shu-yu
LIU Feng
ZOU Yi
WU Min
ZHU Zhao
LI Ling
LIAO Shi-bo
Abstract：Objective To explore the clinical features of brucellosis and reduce the misdiagnosis and mistreatment rates. Methods A retrospective analysis of clinical data was made for 1 case of brucellosis misdiagnosed as gouty arthritis, and the literature was reviewed. Results The patient with right ankle joint pain and fever as the main symptoms was suspec-ted as having acute gouty arthritis upon admission. Anti-infection and pain relief measures were taken with no obvious effect. The patient was found having a history of animal contact recently and detection of brucellosis tube agglutination titer was more than 1∶ 400, the rose Bengal plate agglutination test was positive, and therefore brucellosis was confirmed and then rifampicin and doxycycline antibiotic therapy were given. The patient recovered well. Conclusion We should consider to rule out the possibility of brucellosis for patients with intermittent fever and peripheral arthritis, and should ask if the patient has a history of contact with diseased animals such as cattle and sheep. Suspected patients should be given brucellosis serological tests quickly to confirm the diagnosis.
Keywords：BrucellosisLow heatMisdiagnosisArthritisgouty
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 54-57 )