28 yo healthy male w/ recent travel to Africa with exposure to unpasteurized camel milk diagnosed with sacroiliitis 2/2 Brucellosis.
Fever in a returning traveler
- <10 days
- Bacteria: typhoid fever, leptospirosis, rickettsia
- Virus: dengue, zika, chikungunya, west nile, yellow fever, HIV
- Parasite: malaria
- >10 days
- Bacteria: typhoid fever,TB, Q fever, brucella, tulleremia
- Virus: HIV
- Fungi: histoplasmosis
- Parasite: malaria, schistosomiasis, trypanosomiasis
Brucellosis presents with undulant fevers, night sweats, HA, malaise with complications with osteoarticular involvement> GU>Neuro involvement. You must warn lab workers so they take proper precautions if you suspect brucella. Brucella total ab titier>1:160 in serum is diagnostic. Treatment for uncomplicated infection is doxycycline + rifampin; if complicated infection -add aminoglycoside.