非疫区33例布鲁菌病误诊分析

目的探讨降低布鲁菌病误诊率的临床措施。方法对兰陵县人民医院2010年1月至2013年12月中33例布鲁菌病误诊患者临床资料进行回顾性分析。结果 33例布鲁菌病被误诊为败血症8例、伤寒8例、睾丸炎7例、风湿性关节炎5例、肺炎2例、肾综合征出血热（HFRS）2例、肺结核1例,确诊后经规范治疗均治愈出院。结论布鲁菌病容易被误诊,临床医生要拓宽思路,熟练掌握有相似症状、体征的发热性疾病,综合分析,降低误诊率。

MISDIAGNOSIS OF 33 CASES OF BRUCELLOSIS IN NON-EPIDEMIC AREA

Objective To explore the clinical measures to reduce the misdiagnosis rate of brucellosis in non-epidemic area.Methods The clinical data of 33 cases of misdiagnosed brucellosis treated in Lanling County People＇s Hospital from January,2010 to December,2013 33 were analyzed retrospectively.Results8 cases were misdiagnosed as septicemia,8 cases as typhia,7 cases as orchitis,5 cases as rheumatic arthritis,2 cases as pneumonia,2cases as hemorrhagic fever with renal syndrome and one cases as tuberculosis.Conclusion Brucellosis can be easily misdiagnosed and doctors should be open-minded and be skilled in recognizing similar symptoms of different diseases to reduce misdiagnosis rate.