An interesting case of dengue masquerading a splenic brucellosis

Nimisha Sharma, Ryan Maclean D. Souza
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Abstract

Mixed infections or co-infections are not uncommon in dengue fever which can occur as a result of transient suppression of host immunity by unknown mechanisms or as a part of its complication. Brucellosis co infection or post dengue complication can occur due to the indigenous practice of consumption of raw unpasteurized cattle milk. Here is a case report of a 14-year-old girl who presented with dengue fever but then continued to have persistence of fever spikes with abdominal pain requiring administration of antibiotics as well as upgradation, on evaluation was found to have splenic abscess with prior history of ingestion of raw goat’s milk with serology suggestive of Brucellosis. This case report was done to elucidate the likelihood of co infection of zoonoses like dengue and brucellosis and the importance of consideration of brucellosis as a differential in cases of unresolving pyrexia post dengue fever especially in countries with wide prevalence of this practice of consumption of unpasteurized cattle milk.
一例有趣的伪装成脾脏布鲁氏菌病的登革热病例
混合感染或合并感染在登革热中并不少见,这可能是由于宿主免疫力受到不明机制的短暂抑制,也可能是登革热并发症的一部分。布鲁氏菌病合并感染或登革热后并发症可因当地人饮用未经消毒的生牛乳而发生。本病例报告了一名 14 岁女孩的病例,该女孩曾出现登革热,但随后持续高烧并伴有腹痛,需要使用抗生素并进行升级治疗,在评估时发现她患有脾脓肿,且之前曾食用过生羊奶,血清学检查提示患有布鲁氏菌病。该病例报告旨在阐明登革热和布鲁氏菌病等人畜共患疾病的可能性,以及在登革热后出现无法缓解的热病时将布鲁氏菌病作为鉴别病例的重要性,尤其是在食用未经巴氏消毒的牛乳这种做法非常普遍的国家。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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