Pulmonary Brucellosis: a shrewd imposter

Parvathy Ramachandran Satheebai; Anil Kumar Asokan; Harikrishnan Somasekaran; Aswini Kumar Surendran; Sreedhanya Sreehari; Arya R. Nair; Gowtham Kishore Chittathu Parambil Gopalakrishnan; Aby C. Eapen

doi:10.18203/2320-6012.ijrms20251664

Authors

Parvathy Ramachandran Satheebai Department of Critical Care Medicine, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India
Anil Kumar Asokan Department of Critical Care Medicine, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India
Harikrishnan Somasekaran Department of Critical Care Medicine, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India
Aswini Kumar Surendran Department of Critical Care Medicine, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India
Sreedhanya Sreehari Department of Critical Care Medicine, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India
Arya R. Nair Department of Critical Care Medicine, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India
Gowtham Kishore Chittathu Parambil Gopalakrishnan Department of Critical Care Medicine, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India
Aby C. Eapen Department of Critical Care Medicine, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20251664

Keywords:

Brucellosis, Pleural effusion, Pulmonary embolism, DNA, PCR

Abstract

Brucellosis is a zoonotic bacterial infection with a broad clinical spectrum, often mimicking other infectious and non-infectious diseases. Due to its nonspecific presentation, delayed diagnosis is common, leading to potential complications. We report a case of young female presented with fever, associated with constitutional symptoms, cervical lymphadenopathy and lower respiratory tract infection features. Her Tuberculosis workup, tropical fever and other viral infection workup, lymphoma evaluation and vasculitis work up were negative. She had persistent symptoms and later Brucella serology sent as she came from area where Brucellosis is endemic. The report came as positive for Brucellosis. The patient managed in intensive care unit with respiratory support, antibiotic and other supportive care. Later she became symptomatically better and had radiological clearance.

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