Zoonotic

Multisystem Processes & Disorders


Step 1: View Clinicals

{"ops":[{"insert":"A 30 year old veterinarian presents with nocturnal pain in the right lower back for 2 weeks, in association with fatigability, night sweats, and fever with chills at night.\n\nHe migrated from Brazil to the United States 3 weeks ago. He had been working in the same occupation in his home country.\n\nHis medical history is unremarkable. There is no history of contact with tuberculosis. He has a single stable sexual partner. There is no family history of spondyloarthropathies.\n\nHis ESR is found to be 20 mm\/1h. Radiographs of the pelvis are found to be normal. A tuberculin test was performed in view of the symptoms, but is nonreactive.\n\nPrior to migration, he was tested for HIV and found to be negative.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-147_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. MRI Lumbar Spine + B/L SI Joints
2. NG + CT NAAT
3. Brucella Serology
4. Aspiration of R/s SI joint

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