Page 99 - Demo
P. 99
Brucellosis%u2022 Most common: Inhalation from infected livestock in endemic areas%u2022 Skin contact: Risk for veterinarians or abattoir workersTransmission:%u2022 History of travel to endemic area%u2022 Animal or raw meat contact%u2022 Initial flu-like symptoms%u2022 Lymphadenopathy, splenomegaly, hepatomegaly%u2022 Arthritis, spinal tendernessClinical Features:%u2022 Presumptive diagnosis: Serum agglutination or Rose Bengal test%u2022 Gold standard: Direct isolation of Brucella spp.Investigations:%u2022 Simple infection: Doxycycline%u2022 Complex cases: Doxycycline plus streptomycinTreatment:
