Brucella Pneumonia Mimicking Pulmonary Tuberculosis: A Case Report

• DOI: 10.1002/ccr3.70387
• Publication Date: 2025-04-11T06:28:26Z
• Authors: Ammar Chapra; Rashid Kazman; Mhd Baraa Habib; Anas A. Ashour; Mohamed Sadek; Adila Shaukat

ABSTRACTBrucellosis is a zoonotic infection prevalent in certain regions. It typically presents with nonspecific symptoms but can also cause focal organ involvement, including the musculoskeletal, neurological, or pulmonary systems. Herein, we present a case of a 31‐year‐old male patient who presented with a 5‐day history of fever and cough. Chest X‐ray revealed bilateral patchy consolidations, initially suggesting an infectious etiology such as tuberculosis. Given the patient's background, further investigation confirmed brucellosis‐related pneumonia, an uncommon pulmonary manifestation of brucellosis. Additional workup excluded tuberculosis as a possible cause for the lung findings. He was treated with doxycycline and rifampin, leading to symptom resolution and improvement on follow‐up imaging. This case underscores the importance of considering brucellosis in the differential diagnosis of atypical pneumonia in patients from endemic regions.