1887
Volume 2021, Issue 1
  • EISSN: 2220-2749

Abstract

Fever with a rash is a common case scenario that clinicians encounter in their practice. The ubiquity of the presentation is proportional to the magnitude of the physician’s dilemma due to its numerous causes. The diagnosis varies from infectious diseases to non-infectious, life threatening diseases including the current COVID-19 pandemic. Here we present a case of a 31-year-old male, who presented to the Emergency Department with fever and rash and was initially diagnosed and managed as a case of COVID-19 which on further evaluation proved to be brucellosis. This is a case of brucellosis with cutaneous manifestations which had been masquerading as COVID-19.

Loading

Article metrics loading...

/content/journals/10.5339/avi.2021.1
2021-06-24
2024-03-28
Loading full text...

Full text loading...

/deliver/fulltext/avi/2021/1/avi.2021.1.html?itemId=/content/journals/10.5339/avi.2021.1&mimeType=html&fmt=ahah

References

  1. de Masson A, Bouaziz JD, Sulimovic L, Cassius C, Jachiet M, Ionescu MA, et al. Chilblains is a common cutaneous finding during the COVID-19 pandemic: A retrospective nationwide study from France. J Am Acad Dermatol. 2020;83:667–670.
    [Google Scholar]
  2. Doğanay M,Aygen B. Human brucellosis: an overview. Int J Infect Dis. 2003;(7):3–173.
    [Google Scholar]
  3. Doğanay M, Meşe-Alp E. Bruselloz. Infeksiyon hastalıkları ve mikrobiyolojisi (3rd ed.). Topcu AW, Söyletir G, Doğanay M (Eds.). Nobel Tıp Kitabevleri, Istanbul. 2008, 897–909.
    [Google Scholar]
  4. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020;323:1061–1069.
    [Google Scholar]
  5. Recalcati S. Cutaneous manifestations in COVID-19: a first perspective. J Eur Acad Dermatol Venereol. 2020; 34:(5):e212–213.
    [Google Scholar]
  6. Manalo IF, Smith MK, Cheeley J, Jacobs R. A dermatologic manifestation of COVID-19: Transient livedo reticularis. J Am Acad Dermatol. 2020; 83:(2):700.
    [Google Scholar]
  7. Galván Casas C, Català A, Carretero Hernández G, Rodríguez-Jiménez P, Fernández-Nieto D, Rodríguez-Villa Lario A, et al. Classification of the cutaneous manifestations of COVID-19: a rapid prospective nationwide consensus study in Spain with 375 cases. Br J Dermatol. 2020;(183):1–71.
    [Google Scholar]
  8. Korkmaz P, Kıdır M, Namdar ND, Özmen A, Uyar C, Değer AN. A Case of Brucellosis with Recurrent Attacks of Vasculitis. Case Rep Infect Dis. 2016 2016:5740589.
    [Google Scholar]
  9. Milionis H, Christou L, Elisaf M. Cutaneous manifestations in brucellosis: case report and review of the literature. Infection. 2000; 28:(2):124–126.
    [Google Scholar]
  10. Ariza J, Servitje O, Pallarés R, Fernández Viladrich P, Rufí G, Peyrí J, et al. Characteristic cutaneous lesions in patients with brucellosis. Arch Dermatol. 1989; 125:(3):380–3.
    [Google Scholar]
  11. Akcali C, Savas L, Baba M, Turunc T, Seckin D Cutaneous manifestations in brucellosis: a prospective study. Adv Ther. 2007; 24:(4) 706–711.
    [Google Scholar]
  12. Artuz F, Oram Y, Lenk N. Skin lesions of patients with brucellosis. Turkish Journal of Dermatology. 1994; 4: 94–96.
    [Google Scholar]
  13. Metin A, Akdeniz H, Buzgan T, Delice I. Cutaneous findings encountered in brucellosis and review of the literature. Int J Dermatol. 2001; 40:(7): 434–438.
    [Google Scholar]
  14. Nagore E, Sanchez-Motilla JM, Navarro V, Febrer MI,Aliaga A. Leukocytoclastic vasculitis as a cutaneous manifestation of systemic infection caused by Brucella melitensis. Cutis. 1999;:63:25–7.
    [Google Scholar]
  15. Saavedra-Velasco M, Chiara-Chilet C, Pichardo-Rodriguez R, Grandez-Urbina A, Inga-Berrospi F. [Coinfection between dengue and COVID-19: need for approach in endemic zones]. Rev Fac Cien Med Univ Nac Cordoba. 2020; 77:(1):52–54.
    [Google Scholar]
  16. Fan BE, Lim KGE, Chong VCL, Chan SSW, Ong KH, Kuperan P. COVID-19 and mycoplasma pneumoniae coinfection. Am J Hematol. 2020; 95:(6): 723–724.
    [Google Scholar]
  17. Wu X, Cai Y, Huang X, Yu X, Zhao L, Wang F. Co-infection with SARS-CoV-2 and Influenza A Virus in Patient with Pneumonia, China. Emerg Infect Dis. 2020; 26:(6):1324–1326.
    [Google Scholar]
  18. Elzein F, Alsherbeeni N, Almatrafi K, Shosha D, Naoufel K. COVID-19 co-infection in a patient with brucella bacteremia. Respir Med Case Rep. 2020; 31: 101183. doi: 10.1016/j.rmcr.2020.101183
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/avi.2021.1
Loading
/content/journals/10.5339/avi.2021.1
Loading

Data & Media loading...

  • Article Type: Case Report
Keyword(s): COVID-19, brucellosis, fever with rash
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error