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

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

Raman Sardana1, Abhishek Vaish2, Aditya Merh2, Hena Butta1, Raju Vaishya2, Leena Mendiratta1 
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

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.

How to cite this article:
Sardana R, Vaish A, Merh A, Butta H, Vaishya R, Mendiratta L. Knee and the farm animals: An unusual presentation of Brucella melitensis masquerading as tuberculosis.Indian J Med Microbiol 2019;37:123-126

How to cite this URL:
Sardana R, Vaish A, Merh A, Butta H, Vaishya R, Mendiratta L. Knee and the farm animals: An unusual presentation of Brucella melitensis masquerading as tuberculosis. Indian J Med Microbiol [serial online] 2019 [cited 2020 Jul 4 ];37:123-126
Available from: http://www.ijmm.org/article.asp?issn=0255-0857;year=2019;volume=37;issue=1;spage=123;epage=126;aulast=Sardana;type=0