Brucellosis
Brucellosis (febris undulans) · Brucelóza
What it is
A bacterium from unpasteurised milk and cheese or infected animals — a wave-like fever that can settle in bones and joints.
Symptoms & signs
- Undulating fever and night sweats
- strong-smelling sweat
- joint and back pain
- tiredness and low mood
- swollen testis in men
🚩 Get help if…
- call 112 / 911 now Chest pain or breathlessness with fever
- call 112 / 911 now Severe headache, stiff neck or confusion with fever
- see a doctor soon Fever coming and going for weeks after unpasteurised milk or cheese
- see a doctor soon Back pain with fever that does not settle
Where it strikes
Medical treatment
- Blood culture and antibody tests
- doxycycline with rifampicin or streptomycin for 6 weeks
- longer treatment for spine or heart involvement
Natural & lifestyle
- Only pasteurised dairy
- gloves when handling animal births
Emerging & experimental
- Shorter combined regimens
- vaccines for people
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Raw milk as a health food — it is the main source of infection not confirmed in trials
- Herbal fever remedies — untested anecdotal / traditional
- Vitamin D — untested anecdotal / traditional
ICD codes
- ICD-10 A23.9
- ICD-11 1B95 Brucellosis