Orthopaedic Infections
Brucellosis
- Uncommon granulomatous infection of bones & joints, 3 species
- Drinking unpasteurised milk or eating infected meat
- 50% risk of arthritis
Pathology
- Chronic inflammatory granuloma
- Round cell infiltration & giant cells
- Central necrosis & caseation
Clinical
- Fevers
- aches
- weakness
- irritable joint
- Undulant course
Investigations
Xray
- Subacute arthritis
Laboratory
- Agglutination test
- Apiration / culture
Treatment
- Antibiotics
- Drain abscesses