Author/Authors :
majzoobi, mohammad mahdi Brucellosis Research Centre - Hamadan University of Medical Sciences , ghasemi basir, hamid reza Department of Pathology - Hamadan University of Medical Sciences , arabestani, mohammad reza Department of Microbiology - Hamadan University of Medical Sciences , akbari, surur Brucellosis Research Centre - Hamadan University of Medical Sciences , nazeri, haleh Department of Pathology - Hamadan University of Medical Sciences
Abstract :
introduction: brucella canis, a member of brucella species, has been reported as a cause of human brucellosis in a few cases, and routine serologic tests do not identify this species. in spite the fact that iran is an endemic area for brucellosis, there has not been any report of human brucellosis due to b. canis. case presentation: the patient was a 68-year-old female with complaints of fever, foul smelling urine, malaise, vomiting, and arthralgia. considering significant leucocytosis and pyuria, positive urine culture antibiotic therapy was initiated for urosepsis. however, due to non-suitable response to antibiotic and negative serologic study for brucellosis, supplemental assessments, including bone marrow aspiration and biopsy (bma&b), were performed to study malignancy, tuberculosis, and brucellosis. brucella canis was isolated from bactec media and subsequently confirmed by polymerase chain reaction test. conclusions: considering the ineffectiveness of routine serologic study for diagnosis of b. canis in the presence of clinical presentations suggestive for brucellosis, blood or bm culture should be considered.
Keywords :
Brucellosis , Brucellosis , Brucella canis , Iran