Unintentional Weight Loss in Medicine / Internal Medicine — 34yo Man | Infectious Diseases | SMLE Q#703

SMLE Question #703

Medicine / Internal Medicine Infectious Diseases
Last updated: February 2026
A 34-year-old male veterinarian has 3 weeks of intermittent high fever, night sweats, malaise, and arthralgia in the knees and ankles with unintentional weight loss. He frequently assists livestock births and eats unpasteurised goat cheese. Examination shows mild hepatosplenomegaly and large-joint tenderness. Blood cultures and serology are consistent with brucellosis, with no features of focal infection. He is started on combination antibiotics. For how long should this antibiotic therapy be continued to reduce relapse risk?

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