Brucellosis in children commonly is a mild self-limited disease compared with the more chronic disease in adults. However, in areas where Brucella melitensis is the endemic species, disease can be severe. Onset of illness can be acute or insidious. Manifestations are nonspecific and include fever, night sweats, weakness, malaise, anorexia, weight loss, arthralgia, myalgia, abdominal pain, and headache. Physical findings include lymphadenopathy, hepatosplenomegaly, and occasionally, arthritis. Serious complications include meningitis, endocarditis, and osteomyelitis, especially involving the sacroiliac joint.
Brucellosis has been found in Red Book 28e
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