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布鲁杆菌病(以下简称布病)是一种由布鲁杆菌引起的人兽共患传染-变态反应性疾病。人患布病后可表现为多种症状和体征,主要为发热、乏力、出汗、关节肌肉疼痛。其中关节疼痛主要在大关节,如腰椎、髋关节、膝关节等,但这些症状和体征往往又缺乏特异性,可以在患有其他疾病的患者身上存在,因此极易与其他疾病相混淆。2013年5月笔者发现1例布病误诊为腰椎结核的病例,现将诊治情况报道如下。
Brucellosis (hereinafter referred to as brucellosis) is a zoonosis caused by brucellosis-allergic diseases. People suffering from brucellosis can be manifested as a variety of symptoms and signs, mainly fever, fatigue, sweating, joint and muscle pain. Joint pain is mainly in the joints, such as the lumbar spine, hip joint, knee joint, etc. However, these symptoms and signs are often lack of specificity and can exist in patients with other diseases and are therefore easily confused with other diseases. May 2013 I found a case of cloth disease misdiagnosed as lumbar tuberculosis cases, the diagnosis and treatment are now reported as follows.