Report of 4 misdiagnosed cases with Brucellosis infection
DAI Ting1 WU Kunzhe2 XU Xiaohua1
1.Department of Nephrology, China-Japan Union Hospital of Jilin University, Jilin Province, Changchun 130033, China;
2.Department of Gastrointestinal Neoplasms Surgery, the Fourth Hospital of China Medical University, Liaoning Province, Shenyang 110032, China
Abstract：Clinical data of 4 cases with Brucellosis infection in Department of Nephrology, China-Japan Union Hospital of Jilin University (for short "our department") from June to November 2016 were ret-rospectively analyzed, to investigate the clinical features of brucellosis, less misdiagnosis and mistreatment. The results showed that all the 4 patients had demonstrable epidemiology history, two patients with fever and waist pain, one pain in lower limb joint with frequ-ent urination, one body bloated as the main symptoms. The 4 patients visited at our department at first, and one patient was misdiagnosed as having double kidney stones complicated with infection, one was misdiagnosed as as having osteoarthritis, one was misdiagnosed as as having urinary tract infection, and the last one was diagnosed as nephrotic syndrome. Results of serumal agglutination tests for Brucellosis in 4 patients turned to positive, and the diagnosis of brucellosis was confirmed. The first 3 cases were cured therapy with 1 or 2 kinds of Rifampicin, Tetracyclines and Levofloxacin. One case left hospital without cure. Clinical manifestations of brucellosis are complicated. For fever patients with waist pain, joint pain, clinicians must ask for details of the history of contact with diseased cattle and sheep, and takebrucellosis antibody detection as early as possible to clarify the diagnosis, in order to reduce misdiagnosis rate.
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