File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Septic arthritis caused by Brucella melitensis in urban Shenzhen, China: a case report

TitleSeptic arthritis caused by Brucella melitensis in urban Shenzhen, China: a case report
Authors
Issue Date2014
Citation
Journal Of Medical case Reports, 2014, v. 8, article no. 367 How to Cite?
AbstractAbstract Introduction: Brucellosis is a systemic infectious disease which is still a challenging medical problem in rural areas such as northern China. It rarely occurs in urban areas such as Shenzhen in southern China. Osteoarticular involvements are frequently seen in brucellosis, and rarely is arthritis the only clinical presentation. We report a case of hip septic arthritis caused by Brucella melitensis in an urban area of Shenzhen, China. Case presentation: A 29-year-old Chinese woman, Han ethnical group presented to our hospital with left hip pain persisting for one month. She had a history of contact with goats one month before admission. Her clinical examination showed marked tenderness and limited movement of her left hip. Further imaging showed effusion of her left hip joint. Inflammatory markers including erythrocyte sedimentation rate (ESR) and c-reactive protein (CRP) were raised. Our clinical diagnosis was septic arthritis of the left hip. A left hip arthroscopy was performed and the culture was positive for Brucella melitensis. She returned to normal activity after completing a standard antibiotic regimen, including gentamicin at 120mg daily for 2 weeks, doxycycline at 100mg daily and rifampicin at 450mg for a total of 12 weeks. Conclusions: Brucellosis is endemic in some rural areas of China, but rare in urban areas such as Shenzhen in southern China. However, more cases will be expected in urban areas due to increasing migration within China. Physicians should consider brucellosis as one of the differential diagnosis of arthritis. Early surgical intervention is recommended to prevent further joint destruction.
Persistent Identifierhttp://hdl.handle.net/10722/207724
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorWong, TMen_US
dc.contributor.authorLou, Nen_US
dc.contributor.authorJin, Wen_US
dc.contributor.authorLeung, Fen_US
dc.contributor.authorTo, MKTen_US
dc.contributor.authorLeung, FKLen_US
dc.date.accessioned2015-01-19T09:32:28Z-
dc.date.available2015-01-19T09:32:28Z-
dc.date.issued2014en_US
dc.identifier.citationJournal Of Medical case Reports, 2014, v. 8, article no. 367en_US
dc.identifier.urihttp://hdl.handle.net/10722/207724-
dc.description.abstractAbstract Introduction: Brucellosis is a systemic infectious disease which is still a challenging medical problem in rural areas such as northern China. It rarely occurs in urban areas such as Shenzhen in southern China. Osteoarticular involvements are frequently seen in brucellosis, and rarely is arthritis the only clinical presentation. We report a case of hip septic arthritis caused by Brucella melitensis in an urban area of Shenzhen, China. Case presentation: A 29-year-old Chinese woman, Han ethnical group presented to our hospital with left hip pain persisting for one month. She had a history of contact with goats one month before admission. Her clinical examination showed marked tenderness and limited movement of her left hip. Further imaging showed effusion of her left hip joint. Inflammatory markers including erythrocyte sedimentation rate (ESR) and c-reactive protein (CRP) were raised. Our clinical diagnosis was septic arthritis of the left hip. A left hip arthroscopy was performed and the culture was positive for Brucella melitensis. She returned to normal activity after completing a standard antibiotic regimen, including gentamicin at 120mg daily for 2 weeks, doxycycline at 100mg daily and rifampicin at 450mg for a total of 12 weeks. Conclusions: Brucellosis is endemic in some rural areas of China, but rare in urban areas such as Shenzhen in southern China. However, more cases will be expected in urban areas due to increasing migration within China. Physicians should consider brucellosis as one of the differential diagnosis of arthritis. Early surgical intervention is recommended to prevent further joint destruction.en_US
dc.languageengen_US
dc.relation.ispartofJournal Of Medical case Reportsen_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titleSeptic arthritis caused by Brucella melitensis in urban Shenzhen, China: a case reporten_US
dc.typeArticleen_US
dc.identifier.emailWong, TM: wongtm@hku.hken_US
dc.identifier.emailTo, MKT: mikektto@hku.hken_US
dc.identifier.emailLeung, FKL: klleunga@hku.hken_US
dc.identifier.authorityWong, TM=rp01689en_US
dc.identifier.authorityTo, MKT=rp00302en_US
dc.identifier.authorityLeung, FKL=rp00297en_US
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/1752-1947-8-367-
dc.identifier.pmcidPMC4234531-
dc.identifier.hkuros242058en_US

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats