Which osteoarticular findings suggest brucellosis?

Updated: Apr 22, 2021
  • Author: Nicholas John Bennett, MBBCh, PhD, FAAP, MA(Cantab); Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Osteoarticular involvement is also common. Focal infection of bones or joints may present with localized abnormal physical findings (eg, swelling, tenderness, and limited motion) in the affected areas. Arthritis, joint effusions, or, in severe cases, costovertebral angle tenderness may be observed. Focal osteomyelitis of the vertebrae, tibia, and, especially, the knee has also been associated with brucellosis infection even in the absence of other significant systemic symptoms. Maneuvers that isolate the sacroiliac joint may cause pain.


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