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A detailed clinical history which includes recent travel history, recent camping or hunting, consumption of unpasteurized milk or raw meat products, and occupational history should be obtained, in order to differentiate [[Brucellosis]] from other diseases.
A detailed clinical history which includes recent travel history, recent camping or hunting, consumption of unpasteurized milk or raw meat products, and occupational history should be obtained, in order to differentiate [[Brucellosis]] from other diseases.
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! colspan="11" |Differentiating Brucellosis from other diseases
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Revision as of 10:53, 27 January 2017

Brucellosis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Danitza Lukac Vishal Devarkonda, M.B.B.S[2]

Overview

Brucellosis must be differentiated from Typhoid fever, Malaria, Tuberculosis, Lymphoma, Dengue, Leptospirosis, Rheumatic disease, Epstein-barr virus, Toxoplasmosis, Cytomegalovirus, and HIV.

Differentiating Brucellosis from other Diseases

Brucellosis must be differentiated from Typhoid fever, Malaria, Tuberculosis, Lymphoma, Dengue, Leptospirosis, Rheumatic disease, Epstein-barr virus, Toxoplasmosis, Cytomegalovirus, and HIV.[1][2][3][4]

A detailed clinical history which includes recent travel history, recent camping or hunting, consumption of unpasteurized milk or raw meat products, and occupational history should be obtained, in order to differentiate Brucellosis from other diseases.

Differentiating Brucellosis from other diseases
Disease History of consumption of unpasteurized milk or daily products History of recent weight loss Situated in endemic area or travel to endemic area IV abuse or

multiple sexual partners

Fever Rash Painless lymphadenopathy Painful Lymphadenopathy White patches on the tonsil and back of throat Keys distinguishing features
Brucellosis
Typhoid fever
  • Step ladder fever
  • Rash which is salmon-colored and blanching
Malaria
  • Paroxysms of spike in fever
  • Chills
  • Sweating
Tuberculosis
  • Night sweats
  • Weight loss
  • Fatigue
Lymphoma
  • Insidious in nature
  • Painless lymphadenopathy
Epstein-Barr virus Posterior cervical lymphadenopathy
Toxoplasma Immunocompromised
Cytomegalovirus History of Blood transfusion
HIV History of  highest risk of contracting disease include contaminated blood transfusions, childbirth, needle sharing, and receptive anal intercourse.

Reference

  1. Pappas G, Akritidis N, Bosilkovski M, Tsianos E (2005). "Brucellosis". N Engl J Med. 352 (22): 2325–36. doi:10.1056/NEJMra050570. PMID 15930423.
  2. Brucellosis "Dennis Kasper, Anthony Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson, Joseph Loscalzo"Harrison's Principles of Internal Medicine, 19e Accessed on January,2017
  3. Young EJ (1995). "Brucellosis: current epidemiology, diagnosis, and management". Curr Clin Top Infect Dis. 15: 115–28. PMID 7546364.
  4. Enfermedades infecciosas: Brucelosis -Diagnóstico de Brucelosis,Guia para el Equipo de Salud. Ministerio de Salud-Argentina. http://www.msal.gob.ar/images/stories/bes/graficos/0000000304cnt-guia-medica-brucelosis.pdf. Accessed on February 2, 2016