Answer BOF 3

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BOF 3
Brucellosis, all are true …...except
1-splenomegally usually indicates a chronic brucellosis or a severe acute infection
2-the gold standard investigation is blood culture
3-neuro-brucellosis may presents like multiple sclerosis
4-spinal tenderness is uncommon
5-usually it is clinically difficult to differentiate a new infection from a relapsing one in a patient who was treated in the past

Answer 4
1-genralized lymphadenopathy may be seen
2-but unfortunately needs long time in special culture media with special environment. Also it is hazardous to the lab workers, so it is NOT used in almost all cases
3-or a BIH like picture.
4-false very common
5-true, especially in highly endemic areas and 2 mercapto ethanol test is used in this situation

Revision Tip

Revise brucellosis KEYS to SUCCESS in Medicine page 543-547

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