Brucellosis is a zoonotic infection caused by eating contaminated food from, or occupational contact with, infected sheep, goats, pigs or cattle in endemic areas.  Classically unpasteurised cheese or milk is implicated.

Endemic areas include parts of Africa, Latin America, western Asia and southern Europe.

The causative agent is a gram-negative coccobacilli.

Presentation includes:
  • high undulating fever (>90%)
  • fatigue
  • arthralgia
  • sweats
  • myalgia
  • headache
  • backache

Diagnosis is by blood culture.

  • gentamycin, doxycyline and rifampicin for 7 to 14 days
  • doxycycline and rifampicin continued for a further 6 weeks

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Secret collector of interesting anonymised ECGs. Fan of the Bath Photomarathon. Lover of cream teas. [Sarah Hudson] (Your Picture)