The guidelines for brucellosis
treatment provide answers to the questions that patients with brucellosis often encounter when they go to the hospital for treatment, such as: What department number does brucellosis have? Precautions before brucellosis examination? What do doctors usually ask? What inspections should be done for brucellosis? How do I look at the results of brucellosis? and many more. The guidelines for brucellosis treatment are designed to facilitate the treatment of brucellosis patients and solve their doubts when visiting a doctor.
- Typical symptoms
- Fever, testicular tenderness, leukocytosis
- Recommended department
- Department of Infectious Diseases, Emergency Department
- Best time to visit
- Nothing special, see a doctor as soon as possible
- Length of visit
- 1 day is reserved for the first visit, and half a day is reserved for each follow-up visit
- Follow-up frequency/diagnostic cycle
- Emergency treatment: follow up every week until the weakness disappears, and then follow up if you feel unwell. Severe patients need to be admitted to the hospital for treatment and transfer to outpatient treatment after the fever resolves.
- Preparation before seeing a doctor
- No special requirements, pay attention to rest.
- Frequently Asked Questions
- 1. Describe the reason for the visit (when did you feel uncomfortable?)
- 2. Is the discomfort caused by obvious factors?
- 3. Are there any accompanying symptoms such as weakness, insomnia, and low-grade fever?
- 4. Have you ever been to the hospital for medical treatment, and what were the examination results?
- 5. How is the treatment?
- 6. Is there a history of drug allergy?
- Key inspection items
- 1. Blood routine
- Blood routine is the most general and basic blood test. Routine blood tests generally use peripheral blood tests, such as fingertips and earlobes
Bit of blood. After going through the blood cell analysis instrument and the computer to report the results, this item has become a routine for examining patients. Blood is composed of two parts: liquid and tangible cells. Routine blood test is the cell part of blood. Blood has three different functions of cells-red blood cells (commonly known as red blood cells), white blood cells (commonly known as white blood cells), and platelets. Judge the disease by observing the quantity change and morphological distribution. It is one of the commonly used auxiliary examination methods for doctors to diagnose the condition. 2. Blood and bone marrow bacterial culture Bacterial culture of blood and bone marrow refers to the detection of microorganisms in the blood of patients with bacteremia and fungemia. Most bacteremia is intermittent and requires multiple cultures to confirm. When a local infection of the human body spreads to the whole body and a systemic infection occurs, bacteria may appear in the blood and bone marrow, namely bacteremia, toxemia or sepsis. Clinically, when patients have fever, blood infection and symptoms, blood and bone marrow bacteria can be cultured. The traditional broth enrichment method and automatic blood culture instrument detection method are commonly used in blood and bone marrow bacterial culture. 3. Complement fixation test (CFT) The complement fixation test (CFT) is a test that uses the immune hemolysis mechanism as an indicator system to detect an antigen or antibody in another response system. As early as 1906, Wasermann applied it to the diagnosis of syphilis, the famous Fahrenheit reaction. This traditional test has been continuously improved. In addition to the diagnosis and epidemiological investigation of infectious diseases, it has also been used in the detection and analysis of some autoantibodies, tumor-related genes, and HLA.
- Diagnostic criteria
- Acute and subacute: The onset is often slow. Fever is the most characteristic of wave-like fever, but it can also be flaccid or irregular. Each wave lasts for one to several weeks, intermittently for several days to two weeks, ranging from 2 to 3 waves to more than ten waves. When the body temperature drops, it is accompanied by profuse sweating and joint pain. Swelling of the liver, spleen and lymph nodes is common, and there may be neuralgia and orchitis. Subacute stage can still be complicated by various purulent lesions. Such as: septic arthritis, osteomyelitis, endocarditis, meningitis, etc. Chronic phase: long-term low-grade fever, chills, fatigue, insomnia, night sweats, myalgia, arthralgia, neuralgia and other symptoms. Ankylosis or contracture of the joints may occur for a long time.