Brucellar arthritis of knee in a child

• DOI: 10.1111/j.1440-1754.2005.00543.x
• Publication Date: 2005-01-25T17:02:07Z
• Authors: A Palanduz; L Telhan; Y Yıldırmak; N Memioğlu; M Arapoğlu; N Kayaalp
• Keywords: Blood Culture; Trimethoprim; Direct agglutination test; Incubation period

Abstract: A 15‐month‐old boy was admitted with fever and a swollen knee. His mother had been treated for brucellosis 11 months ago. At that time he asymptomatic both negative blood culture serum agglutination tests breastfeeding stopped. The infant healthy since then. On admission, joint fluid were obtained commenced on cefuroxim. Gram‐negative coccobacillary organisms seen in the fluid. Both cultures remained sterile. He positive test titer of 1/640. Cefuroxim then stopped child specific course treatment: gentamicin, trimethoprim‐sulfamethoxazole rifampicin. recovered this treatment. We conclude brucellar arthritis knee probably acquired by breastmilk after an exceptionally long incubation period.