A case of brucellosis concomitant with HIV infection in China
Abstract Background Human brucellosis is a neglected public health issue in China and reports of HIV-infected individuals complicated with brucellosis are rare. This report describes the case of an HIV-infected patient complicated with brucellosis. We want to raise awareness of clinical diagnosis of...
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doaj-fbe698d9d8ac4c45a8e7d2918d92bc2d2021-01-17T12:54:33ZengBMCInfectious Diseases of Poverty2049-99572020-01-01911510.1186/s40249-020-0624-7A case of brucellosis concomitant with HIV infection in ChinaShuai-Bing Dong0Li-Ping Wang1Chao-Xue Wu2Fan Li3Yong Yue4Dong-Ri Piao5Hong-Yan Zhao6Hai Jiang7Division of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and PreventionDivision of Infectious Disease, Key Laboratory of Surveillance and Early Warning on Infectious Disease, Chinese Center for Disease Control and PreventionSichuan Center for Disease Control and PreventionSichuan Center for Disease Control and PreventionChengdu Center for Disease Control and PreventionState Key Laboratory for Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Chinese Center for Disease Control and Prevention, National Institute for Communicable Disease Control and PreventionState Key Laboratory for Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Chinese Center for Disease Control and Prevention, National Institute for Communicable Disease Control and PreventionState Key Laboratory for Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Chinese Center for Disease Control and Prevention, National Institute for Communicable Disease Control and PreventionAbstract Background Human brucellosis is a neglected public health issue in China and reports of HIV-infected individuals complicated with brucellosis are rare. This report describes the case of an HIV-infected patient complicated with brucellosis. We want to raise awareness of clinical diagnosis of brucellosis among clinicians. Furthermore, we should be more concerned about cases with pyrexia of unknown origin, especially in non-epidemic areas of brucellosis in China. Case presentation We encountered the case of a 31-year-old HIV-infected male with a CD4+ T lymphocyte count of approximately 300. On May 1, 2019, the patient had onset of non-specific caustic irregular fever with body temperature reaching 41.0 °C. He was admitted to two medical institutions in Yunnan with pyrexia of unknown origin. Finally, on day 7 of hospitalization in the Public Health Clinical Medical Center in Chengdu City, he was diagnosed as having brucellosis infection based on blood culture results. Conclusions This is the first reported case of brucellosis concomitant with HIV infection in China. Laboratories in infectious disease hospitals and category A level III hospitals in the southern provinces of China should be equipped with reagents for clinical diagnosis of brucellosis and to strengthen the awareness of brucellosis diagnosis in China. Secondly, in provinces with a high incidence of AIDS and brucellosis such as Xinjiang and Henan, it is recommended to implement a joint examination strategy to ensure the early detection, diagnosis, and treatment of this infection.https://doi.org/10.1186/s40249-020-0624-7BrucellosisHIVPyrexia of unknown originJoint examination |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shuai-Bing Dong Li-Ping Wang Chao-Xue Wu Fan Li Yong Yue Dong-Ri Piao Hong-Yan Zhao Hai Jiang |
spellingShingle |
Shuai-Bing Dong Li-Ping Wang Chao-Xue Wu Fan Li Yong Yue Dong-Ri Piao Hong-Yan Zhao Hai Jiang A case of brucellosis concomitant with HIV infection in China Infectious Diseases of Poverty Brucellosis HIV Pyrexia of unknown origin Joint examination |
author_facet |
Shuai-Bing Dong Li-Ping Wang Chao-Xue Wu Fan Li Yong Yue Dong-Ri Piao Hong-Yan Zhao Hai Jiang |
author_sort |
Shuai-Bing Dong |
title |
A case of brucellosis concomitant with HIV infection in China |
title_short |
A case of brucellosis concomitant with HIV infection in China |
title_full |
A case of brucellosis concomitant with HIV infection in China |
title_fullStr |
A case of brucellosis concomitant with HIV infection in China |
title_full_unstemmed |
A case of brucellosis concomitant with HIV infection in China |
title_sort |
case of brucellosis concomitant with hiv infection in china |
publisher |
BMC |
series |
Infectious Diseases of Poverty |
issn |
2049-9957 |
publishDate |
2020-01-01 |
description |
Abstract Background Human brucellosis is a neglected public health issue in China and reports of HIV-infected individuals complicated with brucellosis are rare. This report describes the case of an HIV-infected patient complicated with brucellosis. We want to raise awareness of clinical diagnosis of brucellosis among clinicians. Furthermore, we should be more concerned about cases with pyrexia of unknown origin, especially in non-epidemic areas of brucellosis in China. Case presentation We encountered the case of a 31-year-old HIV-infected male with a CD4+ T lymphocyte count of approximately 300. On May 1, 2019, the patient had onset of non-specific caustic irregular fever with body temperature reaching 41.0 °C. He was admitted to two medical institutions in Yunnan with pyrexia of unknown origin. Finally, on day 7 of hospitalization in the Public Health Clinical Medical Center in Chengdu City, he was diagnosed as having brucellosis infection based on blood culture results. Conclusions This is the first reported case of brucellosis concomitant with HIV infection in China. Laboratories in infectious disease hospitals and category A level III hospitals in the southern provinces of China should be equipped with reagents for clinical diagnosis of brucellosis and to strengthen the awareness of brucellosis diagnosis in China. Secondly, in provinces with a high incidence of AIDS and brucellosis such as Xinjiang and Henan, it is recommended to implement a joint examination strategy to ensure the early detection, diagnosis, and treatment of this infection. |
topic |
Brucellosis HIV Pyrexia of unknown origin Joint examination |
url |
https://doi.org/10.1186/s40249-020-0624-7 |
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