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The disease is also called undulant fever because one of the major symptoms in humans is a fever that fluctuates widely at regular intervals. The symptoms in the beginning stages are difficult to notice and include loss of weight and increased irritability. As the illness advances, headaches, chills, diaphoresis, and muscle aches and pains appear. It is possible for these symptoms to persist for years, either intermittently or continuously, although most patients recover completely within 2 to 6 months. Diagnosis is confirmed by blood cultures or serologic agglutination tests.
Treatment consists of rest and supportive care with a prolonged antibiotic regimen. Prevention is best accomplished by the pasteurization of milk and a program of testing, vaccination, and elimination of infected animals.
brucellosisA highly contagiously infection by Brucella spp, primarily B abortus (less commonly, B melintensis and B suis), caused by skin contact with infected cattle, goats and sheep or consumption of contaminated milk or meat.
Primarily affects veterinarians, farmers, wool sorters and dairy workers, who are occupationally exposed to infected animals, meats or spore-laden wool.
Fever, sweating, malaise, aches, meningitis, abscesses of brain, liver, spleen, cholecytitis, endocarditis, arthritis, spondylitis, osteomyelitis, erythema nodosum, inhalation pneumonitis.
Doxycycline, rifampin for 6+ weeks.
Generally less than 5%.
Malta feverSee BRUCELLOSIS.
Bruce,Sir David, English surgeon, 1855-1931.
Malta,an island in the Mediterranean Sea south of Sicily.
Patient discussion about Malta fever
Q. Can Familial Mediterranean Fever (FMF) cause a heart enlargement? A friend of mine is suffering from FMF. its usually doesn't bother him that much and when it dose the symptoms are stomach ache and fever. he has no heart symptoms and takes no medications. his physician told him that because of the FMF he might suffer from a heart enlargement, and that he should take some oral medications daily to prevent it. how can it be?
although FMF on its own can't cause heart enlargement, FMF can cause amyloidosis because of the recurrent inflammation. this may lead to enlargement of the heart which is a severe disease.
the good side is that taking medication can decrease the chance of the cardiac enlargement.