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Difficulties in the Diagnosis of Chronic Brucellosis¹

In this paper emphasis is laid on the diagnosis of the chronic disease because the same difficulties which attend the diagnosis of the acute are magnified in the chronic disease.

On account of the difficulties of diagnosis there were no cases of chronic brucellosis recognized in this country until recent years. At present there are only a few centers where it is recognized. A discussion of it is timely in order to stimulate the growing interest in this chronic disease which probably exists in every rural community, and in every town and city where raw milk is consumed.

Because the clinical picture is vague, chronic brucellosis cases have often been thrown into the clinical scrapheap of neurasthenia. The error of stigmatizing brucellosis patients as neurasthenic adds to physical ills the mental anguish that results from the unsympathetic attitude these patients encounter.

Received January 17, 1939.
¹ Read at the Annual Meeting of the American Society of Tropical Medicine, at Oklahoma City, Okla. November 16, 1938.