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Abstract: The patient in this case is a 59-year-old aunt. The patient had persistent fever for 1 week after cardiac intervention, and the blood routine and C-reactive protein were basically in the normal range. After consultation and examination, the patient was finally diagnosed with brucellosis, and was transferred to the infection department after being given anti-brucellosis treatment such as rehydration and cooling, doxycycline capsule and rifampin capsule.
Basic information】Female, 59 years old
Type of disease】Brucellosis
Hospital】The 988th Hospital of the People’s Liberation Army Joint Security Force
Consultation time】August 2019
Treatment plan】Medication (doxycycline hydrochloride capsule, rifampin capsule, chewable magnesium aluminum carbonate tablet, mosapride citrate dispersible tablet)
Treatment period】3 weeks of inpatient treatment, 6 weeks of medication, 6 months of outpatient follow-up
Treatment effect】The disease has been controlled, and all indicators have recovered
I. Initial consultation
The patient was treated with cardiac stent in the cardiology department for myocardial infarction. On the second day after the operation, she developed fever, and her body temperature rose to 38.6℃, accompanied by profuse sweating. When he saw the patient, he was feverish, sweating profusely and depressed. On examination, he found that he had pain in the calf muscles and pain in the shoulder and knee joints, which had lasted for more than 2 months. When I heard this, I asked the bedside doctor to check the brucella antibody test, and the result was positive.
(Brucella antibody test)
II. Treatment history
After the diagnosis was clear, the patient was transferred to the Infectious Diseases Department for brucellosis treatment because of good heart recovery. The patient was given chewable tablets of magnesium aluminum carbonate and dispersible tablets of mosapride citrate to protect gastric mucosa and help digestion. In summary, the patient was hospitalized for a total of 3 weeks and treated with medication for a total of 6 weeks, and at the time of discharge, the patient was instructed to follow up for 6 months on an outpatient basis.
III. Treatment effect
After the patient was treated with doxycycline hydrochloride capsule and rifampicin capsule, her body temperature dropped and returned to normal on the third day of treatment. In the third week of treatment, the pain in the calf muscle disappeared and the pain in the shoulder and knee joints also improved significantly, and the patient and his family were very satisfied with the treatment effect and were discharged. The patient and his family were very satisfied with the treatment effect, and he was discharged from the hospital. After discharge, he continued to adhere to the treatment course and had no discomfort in the outpatient follow-up for 6 months.
IV. Notes
We are truly happy that the patient recovered from the treatment. Although the diagnosis of brucellosis involved two departments, the final diagnosis was clear, and the patient and his family gave enough trust and understanding, and through correct and regular treatment, the patient improved and was discharged. In addition, you should observe your symptoms and follow up promptly if you have any uncomfortable symptoms such as weakness, sweating, joint pain, fever, testicular swelling and pain. Because brucellosis has a chance of recurrence, it is important to protect yourself if you come into contact with sheep again. Pay attention to daily dietary hygiene, avoid eating food contaminated by germs, and make sure to cook meat and milk at high temperature before importing.
V. Personal insight
Brucellosis belongs to zoonotic diseases, this disease belongs to zoonotic diseases, mainly in sheep, cattle, pigs and other animals spread between, can also be transmitted to people by animals, its symptoms are fever, sweating, muscle and joint pain, muscle and joint pain sometimes earlier than other symptoms, many people as osteoarthritis treatment, the effect is very little, easy to misdiagnosis, this disease is preventable and controllable, generally does not appear between human transmission, so that Even if infected, there is no need to be overly nervous. If you have a history of sheep farming or frequently consume beef and lamb, especially uncooked beef and lamb, once you have the above symptoms, think of Brucella infection and seek medical attention at a regular hospital in a timely manner.