Abstract
The case is reported of a 7 year old Bedouin girl who presented with a three week history of fever and limp. Initial tests for rheumatoid factor, antinuclear antibodies, and brucella were negative. Two weeks after admission Brucella melitensis was cultured from bone marrow and synovial fluid samples. The patient improved after treatment with doxycillin and streptomycin, but radiographs of the right hip showed avascular necrosis of the right femoral head. A mild limp and limitation of motion in the right hip persisted 18 months after admission.
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- Alarcón G. S., Bocanegra T. S., Gotuzzo E., Espinoza L. R. The arthritis of brucellosis: a perspective one hundred years after Bruce's discovery. J Rheumatol. 1987 Dec;14(6):1083–1085. [PubMed] [Google Scholar]
- Del Rio M. D. Brucella osteomyelitis. Pediatr Infect Dis. 1983 Jan-Feb;2(1):50–52. doi: 10.1097/00006454-198301000-00014. [DOI] [PubMed] [Google Scholar]
- Gedalia A., Watemberg N., Rothschild M. [Childhood brucellosis in the Negev]. Harefuah. 1990 Nov 15;119(10):313–315. [PubMed] [Google Scholar]
- Gotuzzo E., Alarcón G. S., Bocanegra T. S., Carrillo C., Guerra J. C., Rolando I., Espinoza L. R. Articular involvement in human brucellosis: a retrospective analysis of 304 cases. Semin Arthritis Rheum. 1982 Nov;12(2):245–255. doi: 10.1016/0049-0172(82)90064-6. [DOI] [PubMed] [Google Scholar]
- Gross E. M., Arbeli Y., Torok V., Hiamovitz M. Human brucellosis in the Negev region of Israel, 1981. Isr J Med Sci. 1982 Sep;18(9):972–972. [PubMed] [Google Scholar]
- Lifeso R. M., Harder E., McCorkell S. J. Spinal brucellosis. J Bone Joint Surg Br. 1985 May;67(3):345–351. doi: 10.1302/0301-620X.67B3.3997939. [DOI] [PubMed] [Google Scholar]
- Madkour M. M., Sharif H. S., Abed M. Y., Al-Fayez M. A. Osteoarticular brucellosis: results of bone scintigraphy in 140 patients. AJR Am J Roentgenol. 1988 May;150(5):1101–1105. doi: 10.2214/ajr.150.5.1101. [DOI] [PubMed] [Google Scholar]
- Mousa A. R., Muhtaseb S. A., Almudallal D. S., Khodeir S. M., Marafie A. A. Osteoarticular complications of brucellosis: a study of 169 cases. Rev Infect Dis. 1987 May-Jun;9(3):531–543. doi: 10.1093/clinids/9.3.531. [DOI] [PubMed] [Google Scholar]
- Seal P. V., Morris C. A. Brucellosis of the carpus. Report of a case. J Bone Joint Surg Br. 1974 May;56(2):327–330. [PubMed] [Google Scholar]