Table 2. Patients with no history of previous brucellosis who had positive IgM and negative IgG.
Patient | Age | Gender | Risk factors | Symptoms | Number of samples IgM + and IgG - | Rose Bengal test | Other diagnostic tests | Antimicrobial treatment | Final diagnosis |
6 | 35 | M | no | Fever and arthralgia | 1 | Negative | ---------- | no | Probable acute parvovirus infection |
7 | 28 | M | no | Oligoarthritis | 7 | Negative | PCR (negative) | Dx (6 weeks) + Stp (15 days) | Chronic oligoarthritis |
8 | 50 | V | no | Fever | 1 | Negative | ----------- | Dx 100 mg/12 h (8 days) | Q fever |
9 | 67 | M | no | Pancytopenia and splenomegaly | 1 | Negative | ----------- | No | lymphoproliferative disorder |
10 | 46 | M | no | Neck pain | 1 | Negative | ----------- | No | Mechanical neck pain |
11 | 61 | M | no | Stroke (TIA). Right metatarsotarsiana Arthritis | 1 | Negative | ---------- | No | Stroke. Acute arthritis resolved. |
12 | 74 | V | no | Fever and low blood pressure | 1 | Negative | ---------- | No | Septic shock of unknown origin |
13 | 29 | M | She worked in cheese factory | Polyarthralgias | 1 | Negative | ---------- | Dx + Rf (3 months) + gentamicin (2 weeks) | Polyarthalgias |
14 | 39 | V | shepherd | Abdominal pain and fever | 2 | Negative | ---------- | Levofloxacin (8 days) | Self-limited unspecific abdominal pain. |
15 | 50 | V | No | Fever | 1 | Negative | Blood cultures (negatives) | Dx+ Rf (45 days) | Q fever |
16 | 48 | M | no | Fever | 1 | Negative | ----------- | no | Self-limited febrile syndrome |
17 | 58 | V | no | Low back pain | 1 | Negative | PCR (negative), Blood cultures (negatives) | Dx (6 weeks) + gentamicin (14 days) | Prostate malignancy |
Abbreviations: F: female; M: male; PCR: polymerase chain reaction; Dx: doxycycline; Stp: streptomycin; Rf: rifampin.