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

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

Indian J Med Microbiol. 2019 Jan-Mar;37(1):123-126

Authors: Sardana R, Vaish A, Merh A, Butta H, Vaishya R, Mendiratta L

Abstract
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.

PMID: 31424024 [PubMed - in process]