Brucellosis

#

1. Symptoms:

    1. prolong fever

    2. myalgia

    3. back pain

    4. malaise

2. lab data

    1. Wright ≥1/160, if negative: repeat 2 weeks later or use coombs wright

    2. 2ME

3. Treatment:

    1. tab doxycycline 100 bid #90 (may cause esophagitis)

    2. Amp streptomycin 1gr qd IM #14

        1. or Cap rifampin 300mg 2tabs before breakfast #90

    3. treat for 6 weeks

4. If relapses: treat for 12 weeks with:

    1. tab ciprofloxacin 500 mg bid #90

    2. Cap rifampin 300 mg 2 tabs before breakfast #90

    3. Tab cotrimoxazole 400 mg 2 tab bid #180

5. For pregnant pt:

    1. cap rifampin 300 mg 2 tab before breakfast #90

    2. Tab doxycycline 100 mg bid #90

6. Prophylaxis:

    1. Cap rifampin 300 mg 2 tabs before breakfast #90

    2. tab doxycycline 100 mg bid #90