Work

Brucellosis: An overlooked cause of pyrexia of unknown origin in a child

Year: 2025

Type: article

Abstract: Paediatric brucellosis can be asymptomatic or present as an acute, persistent febrile illness. Limited literature on this disease in the paediatric population often leads to delayed diagnoses or undiagnosed cases. A previously healthy 10-year-old boy presented with a 2-month history of fever and a weight loss of 2 kg. On examination, hepatosplenomegaly was noted. His haemogram showed anaemia and leucopenia. Blood culture identified Brucella melitensis , which was sensitive to doxycycline and rifampicin. The Brucella agglutination test further confirmed the diagnosis. He was successfully treated with oral doxycycline and rifampicin. This case highlights the importance of considering brucellosis in the differential diagnosis of children with pyrexia of unknown origin.

Source: Karnataka Pediatric Journal

DOI: 10.25259/kpj_8_2025

Authors: Jyothi Naik, Thirunavukkarasu Arun Babu

Institutions: All India Institute of Medical Sciences, Mangalagiri, All India Institute of Medical Sciences

Language: English

Topic: Brucella: diagnosis, epidemiology, treatment

Subfield: Small Animals

Field: Veterinary

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4409772609

FWCI:

Cites: 8

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Related to: 10