The nature of human brucellosis in Kuwait: study of 379 cases

Rev Infect Dis. Jan-Feb 1988;10(1):211-7. doi: 10.1093/clinids/10.1.211.

Abstract

Three hundred seventy-nine Kuwaiti patients with brucellosis were admitted to Adan General Hospital, Kuwait, during the period 1984-1985. Of these 231 were males and 148 were females. Diagnosis was based on symptoms and signs compatible with the disease and on the detection of significantly elevated antibody titer and/or positive blood culture. The primary means of exposure were the consumption of raw milk and contact with goats, sheep, or camels. Patients most frequently presented with fever (91%), chills (40%), sweats (39%), gastrointestinal symptoms (30%), headache (23%), respiratory symptoms (23%), and musculoskeletal symptoms (22%). The major signs were osteoarticular involvement (37%), hepatosplenomegaly (27%), and lymphadenopathy (9%). Different regimens of treatment were used, but the highest rate of cure was achieved with triple therapy--tetracycline, streptomycin, and rifampin.

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Bacterial / analysis
  • Brucella / immunology
  • Brucellosis / drug therapy
  • Brucellosis / epidemiology*
  • Brucellosis / immunology
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Kuwait
  • Male
  • Middle Aged
  • Seasons

Substances

  • Antibodies, Bacterial