Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Infect Dis. Oct 19, 2023; 13(3): 24-30
Published online Oct 19, 2023. doi: 10.5495/wjcid.v13.i3.24
Brucellosis, a diagnostic dilemma, presenting atypically in a child with terminal ileitis: A case report
Kokila Banerjee, Amitava Pahari, Subhendu Roy
Kokila Banerjee, Department of Microbiology, Drs. Tribedi and Roy Diagnostic Laboratory, Kolkata 700016, West Bengal, India
Amitava Pahari, Department of Pediatric Infectious Diseases, Apollo Hospitals, Kolkata, kolkata 700048, India
Subhendu Roy, Drs. Tribedi and Roy Diagnostic Laboratory, Kolkata, Kolkata 700012, India
Author contributions: All authors were involved in the care of the patient; All authors drafted and reviewed the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report.
Conflict-of-interest statement: There is no conflict of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kokila Banerjee, MD, Researcher, Department of Microbiology, Drs. Tribedi and Roy Diagnostic Laboratory, 93, Park Street, Kolkata 700016, West Bengal, India. drkokilabanerjee1@gmail.com
Received: June 19, 2023
Peer-review started: June 19, 2023
First decision: August 30, 2023
Revised: September 4, 2023
Accepted: September 22, 2023
Article in press: September 22, 2023
Published online: October 19, 2023
Processing time: 121 Days and 21.8 Hours
Core Tip

Core Tip: Pyrexia of unknown origin has always been a diagnostic challenge for clinicians, in spite of development of most modern diagnostic techniques. The decision to choose the right investigation depends on the clinician’s acumen which in turn is guided by detailed history-taking and knowledge of local disease prevalence, leading to timely diagnosis with prevention of mental, physical and financial agony. Our child suffering for three-and-half months, could have landed in the emergency department with acute abdomen, had there been a further delay in the diagnosis of his vague symptoms that were due to Brucellosis presenting atypically with terminal ileitis.