A 37-Year-Old Patient with Fever, Dyspnea and Elevated Trans aminases after a Stay in Mexico

Schmid, Stephan A. and Birkenfeld, Gabriele (2010) A 37-Year-Old Patient with Fever, Dyspnea and Elevated Trans aminases after a Stay in Mexico. MEDIZINISCHE KLINIK, 105 (4). pp. 286-290. ISSN 0723-5003,

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Abstract

A 37-year-old patient with cephalgia and fever after his return from Mexico is reported. Due to persistently elevated transaminases, a liver biopsy was performed. Histological examination revealed hepatic involvement of a granulomatous disease. Serologic analyses detected anti-Brucella IgM. The suspected diagnosis was thus brucellosis taking the typical anamnesis into account. Treatment with rifampicin and doxycycline led to a complete convalescence of the patient. Brucellosis is an anthropozoonosis that exists worldwide. Potential sources of infection are uncooked or unpasteurized milk and milk products of infected animals. Complete cure of most brucellosis-infected patients can be achieved by an early and adequate antibiotic treatment.

Item Type: Article
Uncontrolled Keywords: BRUCELLA-MELITENSIS; Brucellosis; Granulomatous disease; Stay in Mexico; Elevated transaminases; Fever; Dyspnea
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Depositing User: Dr. Gernot Deinzer
Date Deposited: 03 Aug 2020 09:08
Last Modified: 03 Aug 2020 09:08
URI: https://pred.uni-regensburg.de/id/eprint/24929

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