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CASE REPORT
Year : 2017  |  Volume : 1  |  Issue : 2  |  Page : 46-48

Acute pancreatitis, meningitis, sacroiliitis, and epididymo-orchitis: What is the link?


1 Department of Medicine, Hamad General Hospital, Hamad Medical Corporation; Weill Cornell Medical College of Qatar, Doha, Qatar
2 Department of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar

Correspondence Address:
Mushtak Al-Gherbawe
Department of Medicine, Hamad General Hospital, Hamad Medical Corporation; Weill Cornell Medical College of Qatar, Doha
Qatar
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/LJMS.LJMS_27_17

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A 41-year-old male patient admitted with the complaints of fever, dizziness, abdominal pain, and scrotal swelling over the last 2 months. Clinical examination and laboratory tests revealed evidence of meningitis, pancreatitis, left sacroiliitis, and epididymo-orchitis. Blood culture revealed Brucella species and serology showed very high antibody titer against Brucella melitensis and B. abortus. The patient was started on ceftriaxone, doxycycline, and rifampicin, after which his general condition improved. He was discharged to continue intravenous antibiotics for 2 weeks after normalization of cerebrospinal fluid in addition to continuation of oral antibiotic for a total course of 6 months.


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