我院30例布鲁菌病临床与实验室分析

A clinical and laboratory analysis of 30 patients with brucellosis

  • 摘要: 目的 探讨布鲁菌病的流行特征、临床表现及实验室诊断,提高对该病的认识。 方法 回顾性分析我院2008-2012年收治的布鲁菌病病人的临床资料、实验室数据并复习相关文献。 结果 30例临床表现均有发热、多汗、乏力、布鲁杆菌凝集试验阳性,20例静脉血或穿刺液培养阳性,经细菌学鉴定为布鲁杆菌。其他伴随症状和体征有咳嗽、咳痰、头痛、心悸、关节疼痛或肿胀、肝脾肿大、肝肾功能异常等。患者初诊科室除发热门诊外,还有呼吸科、骨科、心内科、神经内科、血液科、肾病科、风湿科等。 结论 布鲁菌病临床表现多样,首诊于不同科室,非牧区城市医院各临床科室及检验医师均应高度重视布鲁菌病,对不明原因发热者应及早进行血培养和布鲁杆菌凝集试验。

     

    Abstract: Objective To improve our understanding of brucellosis by analyzing its epidemiological features, clinical manifestations and laboratory diagnosis. Methods Clinical and laboratory data about brucellosis patients admitted to our hospital from 2008 to 2012 were retrospectively analyzed with its relevant literature reviewed. Results The 30 brucellosis patients were manifested as fever, hyperhidrosis and weakness, and they were positive in brucella agglutination tests. Cultured venous blood or punctured fluid from 20 patients was also positive for brucella. The other accompanied symptoms and signs of the patients included cough, expectoration, headache, palpitation, arthralgia or arthroncus, hepatosplenomegaly, and abnormal liver or kidney functions. The patients made their first visits at departments of respiratory diseases, orthopedics, cardiology, neurology, hematology, nephrology, and rheumatology, besides fever clinics. Conclusion Brucellosis shows different clinical manifestations and is first diagnosed at different departments. Great attention should be paid to it by departments and laboratories of hospitals in non-pastoral areas. Blood should be cultured and brucella aggregation test should be performed as early as possible for patients with fever due to unknown reasons.

     

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