Brucellosis in a patient with ochronosis – a rare case

Poonamashok Kamath, B. Nandakrishna, Sudha Vidyasagar, Cynthia Amrutha, Muralidhar Varma, Charan Thej Reddy

Research output: Contribution to journalArticlepeer-review


Alkaptonuria, an inborn error of metabolism, is due to deficient activity of homogentisic acid dioxygenase(HGD) enzyme. It is known to commonly present as spondyloarthritis, especially in the third decade. We discuss the case of a 49-year-old lady, who had presented with fever, backache, and multiple joint pains for 8 months, aggravated since the past 1 week. This case highlights the need to consider an additional diagnosis especially when there is no clinical improvement and the fever persists. Having a high index of clinical suspicion for a treatable cause like brucellosis is favourable, as it can lead to a better outcome.

Original languageEnglish
Pages (from-to)151-153
Number of pages3
JournalJournal, Indian Academy of Clinical Medicine
Issue number3-4
Publication statusPublished - 01-07-2021

All Science Journal Classification (ASJC) codes

  • General Medicine


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