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Article: Septic arthritis caused by Brucella melitensis in urban Shenzhen, China: a case report
Title | Septic arthritis caused by Brucella melitensis in urban Shenzhen, China: a case report |
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Authors | |
Keywords | Brucella species Brucellosis Hip arthroscopy Septic arthritis Urban area |
Issue Date | 2014 |
Citation | Journal Of Medical case Reports, 2014, v. 8, article no. 367 How to Cite? |
Abstract | Abstract 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 Identifier | http://hdl.handle.net/10722/207724 |
PubMed Central ID |
DC Field | Value | Language |
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dc.contributor.author | Wong, TM | en_US |
dc.contributor.author | Lou, N | en_US |
dc.contributor.author | Jin, W | en_US |
dc.contributor.author | Leung, F | en_US |
dc.contributor.author | To, MKT | en_US |
dc.contributor.author | Leung, FKL | en_US |
dc.date.accessioned | 2015-01-19T09:32:28Z | - |
dc.date.available | 2015-01-19T09:32:28Z | - |
dc.date.issued | 2014 | en_US |
dc.identifier.citation | Journal Of Medical case Reports, 2014, v. 8, article no. 367 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/207724 | - |
dc.description.abstract | Abstract 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.language | eng | en_US |
dc.relation.ispartof | Journal Of Medical case Reports | en_US |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Brucella species | - |
dc.subject | Brucellosis | - |
dc.subject | Hip arthroscopy | - |
dc.subject | Septic arthritis | - |
dc.subject | Urban area | - |
dc.title | Septic arthritis caused by Brucella melitensis in urban Shenzhen, China: a case report | en_US |
dc.type | Article | en_US |
dc.identifier.email | Wong, TM: wongtm@hku.hk | en_US |
dc.identifier.email | To, MKT: mikektto@hku.hk | en_US |
dc.identifier.email | Leung, FKL: klleunga@hku.hk | en_US |
dc.identifier.authority | Wong, TM=rp01689 | en_US |
dc.identifier.authority | To, MKT=rp00302 | en_US |
dc.identifier.authority | Leung, FKL=rp00297 | en_US |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1186/1752-1947-8-367 | - |
dc.identifier.pmcid | PMC4234531 | - |
dc.identifier.scopus | eid_2-s2.0-84920770493 | - |
dc.identifier.hkuros | 242058 | en_US |
dc.identifier.eissn | 1752-1947 | - |
dc.identifier.issnl | 1752-1947 | - |