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Year : 2018  |  Volume : 10  |  Issue : 3  |  Page : 99-101

Unexplained fever and arthritis in a teenager with Type 1 diabetes

Department of Medicine, Rashid Hospital, Dubai, United Arab Emirates

Correspondence Address:
Dr. Touseef Azhar Kazmi
Department of Medicine, Rashid Hospital, Oud Mehta, Dubai
United Arab Emirates
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijmbs.ijmbs_30_18

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Brucellosis is a relatively prevalent zoonotic infection in the Mediterranean region and the Arabian Peninsula. Due to the multi-system involvement and nonspecific nature of the complaints, making a diagnosis can sometimes be particularly challenging. We present the case of a Libyan-American adolescent with type 1 diabetes mellitus (T1DM) residing in the United Arab Emirates who presented with fever, flu-like symptoms, and arthritis. When his initial septic workup did not reveal a focus of infection, and he continued to be febrile with the development of multiple painful and swollen joints, a diagnosis of autoimmune arthritis was entertained given his background history of autoimmune T1DM. However, on further probing, we ascertained a history of raw camel cheese ingestion. This redirected us to look for and subsequently confirm the diagnosis of brucellosis. Appropriate antibiotic treatment led to rapid recovery of the patient.

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