Brucellosis

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Symptoms

By Mayo Clinic staff

Symptoms of brucellosis may show up anytime from a few days to a few months after you're infected with brucella, the bacteria that cause brucellosis. Signs and symptoms are similar to those of the flu and include:

  • Fever, often rising to 104 F (40 C) or more in the afternoon — a rising and falling (undulating) fever is one of the hallmarks of the disease
  • Chills
  • Sweats
  • Weakness
  • Fatigue
  • Joint, muscle and back pain
  • Headache

Brucellosis symptoms may disappear for weeks or months and then return. In some people, brucellosis becomes chronic, with symptoms persisting for years, even after treatment. Long-term signs and symptoms include fatigue, fevers, arthritis and spondylitis — an inflammatory arthritis that affects the spine and nearby joints.

When to see a doctor
Brucellosis can be hard to identify, especially in the early stages, when it often resembles the flu. See your doctor if you develop a rapidly rising fever, muscle aches or unusual weakness and have any risk factors for the disease, or if you have a persistent fever.

References
  1. Brucellosis. Centers for Disease Control and Prevention. http://www.cdc.gov/ncidod/dbmd/diseaseinfo/Brucellosis_g.htm. Accessed Nov. 16, 2008.
  2. Everett ED. Microbiology, epidemiology, and pathogenesis of Brucella. http://www.uptodate.com/home/index.html. Accessed Nov. 17, 2008.
  3. Everett ED. Clinical manifestations, diagnosis, and treatment of brucellosis in adults. http://www.uptodate.com/home/index.html. Accessed Nov. 17, 2008.
  4. Franco MP, et al. Human brucellosis. Lancet Infectious Diseases. 2007;7:775.
  5. Purwar S. Human brucellosis: A burden of a half-million cases per year. Southern Medical Journal. 2007;100:1074.
  6. Brucellosis. New York State Department of Health. http://www.health.state.ny.us/diseases/communicable/brucellosis/fact_sheet.htm. Accessed Nov. 16, 2008.
  7. Brucellosis. Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases: Division of Bacterial Diseases. http://www.cdc.gov/ncidod/dbmd/diseaseinfo/Brcellosis_t.htm. Accessed Nov. 16, 2008.
  8. Pappas G. Treatment of brucellosis: Regimens containing aminoglycosides are most effective but difficult to implement in practice. BMJ. 2008;336:678.
  9. Hashmi S, et al. Rare red rash. American Journal of Medicine. 2008;121:862.
  10. Skalsky K, et al. Treatment of human brucellosis: Systematic review and meta-analysis of randomised controlled trials. BMJ. In press. Accessed Nov. 16, 2008.
  11. Centers for Disease Control and Prevention. Laboratory-acquired brucellosis - Indiana and Minnesota, 2006. Morbidity and Mortality Weekly Report. 2008;57:39Hashmi S, et al. Rare red rash. American Journal of Medicine. 2008;121:862.
  12. Everett ED. Brucellosis in children. http://www.uptodate.com/home/index.html. Accessed Nov. 17, 2008.
  13. Donch DA, et al. Status report - fiscal year 2007, Cooperative State-Federal Brucellosis Eradication Program. USDA, Animal and Plant Health Inspection Service. http://www.aphis.usda.gov/animal_health/animal_diseases/brucellosis/downloads/yearly_rpt.pdf. Accessed Nov. 19, 2008.
  14. Vaccine use following brucellosis and pseudorabies eradication. Center for Veterinary Biologics. www.aphis.usda.gov/animal_health/vet_biologics/publications/USAHA_CVB_2007_Handouts.pdf. Accessed Nov. 19, 2008.

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Dec. 10, 2008

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