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 CASE REPORT
Year : 2019  |  Volume : 37  |  Issue : 1  |  Page : 123-126

Knee and the farm animals: An unusual presentation of Brucella melitensis masquerading as tuberculosis


1 Department of Microbiology, Indraprastha Apollo Hospitals, New Delhi, India
2 Department of Orthopaedics and Joint Replacement Surgery, Indraprastha Apollo Hospitals, New Delhi, India

Correspondence Address:
Dr. Raman Sardana
Department of Microbiology, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi - 110 076
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmm.IJMM_19_213

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In many developed countries, brucellosis has been successfully eradicated. However, brucellosis, with its myriad presentations, continues to be a clinical and diagnostic challenge in primarily agrarian countries such as India. We present a case of a rare manifestation of brucellosis i.e., septic arthritis of the knee joint associated with a lytic lesion of the proximal tibia. The patient belonged to a Brucella endemic country, and clinical features were of chronic reactive knee arthritis with synovial hypertrophy and effusion. Advanced diagnostic methods played a pivotal role in excluding the diagnosis of tuberculosis, and thus unnecessary administration of antitubercular therapy and initiating focused narrowed anti-Brucella management, achieving the goal of antimicrobial stewardship also.






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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

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