Brucellosis

A23.0-3/A23.8-9

*Notifiable medical condition.

DESCRIPTION

Zoonotic infection, usually due to B. abortus in South Africa. Infection is usually acquired from unpasteurised milk products or handling raw meat.

MEDICINE TREATMENT

Exclude TB before starting therapy.

  • Doxycycline, oral, 100 mg 12 hourly for 6 weeks.

AND

  • Gentamicin, IV, 6 mg/kg daily for 3 weeks. See
  • GENTAMICIN, IV (Preferred regimen for osteo-articular or cardiac involvement).

LoEIII [19]

OR

  • Doxycycline, oral, 100 mg 12 hourly for 6 weeks.

AND

  • Rifampicin, oral, 7.5 mg/kg 12 hourly for 6 weeks.