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Brucellosis with erythema nodosum-like manifestations diagnosed by isolated positivity of the ELISA test for anti-Brucella IgM.

Authors :
Nardiello S
Fusco FM
Ilario A
Ambrosino E
Nuzzo I
Rossiello L
Bentivoglio C
Rossiello R
Galanti B
Source :
Le infezioni in medicina [Infez Med] 2005 Dec; Vol. 13 (4), pp. 255-8.
Publication Year :
2005

Abstract

Brucellosis is endemic in the Mediterranean area. In spite of the false negative results, the standard agglutination test remains the routine test for the diagnosis of brucellosis in southern Italy. We present a case of a patient with undulant fever and erythema nodosum-like skin lesions, with negative serum agglutination test, but isolated positivity of the ELISA test for anti-Brucella IgM. A diagnosis of brucellosis for this patient was supported by the anamnestic and clinical data, and by the response to therapy. This case and a review of the literature urge us to consider the ELISA test indispensable for the serological diagnosis of brucellosis.

Details

Language :
English
ISSN :
1124-9390
Volume :
13
Issue :
4
Database :
MEDLINE
Journal :
Le infezioni in medicina
Publication Type :
Academic Journal
Accession number :
16388281