Table 2 Timeline of patient’s brucellosis case

Week 1

Initial symptoms and clinical evaluation: Patient presented with 6 weeks of symptoms (fever, fatigue, myalgia, lower back pain, vomiting, dysuria, and urinary frequency). Diagnosed with nephrolithiasis. Ultrasound showed mild hydronephrosis (right kidney), severe hydronephrosis (left kidney), multiple kidney stones, and bladder wall thickening.

Weeks 2–3

Urinalysis and urine culture: Urinalysis shows RBCs, protein, and WBCs (25–28 per high-power field). Urine culture confirms Brucella species.

Referral: Patient referred to infectious disease clinic.

Week 4

Further evaluation: Diagnosis of brucellosis (oligoarthritis and pyelonephritis) confirmed. Treatment initiated with gentamicin, doxycycline, and rifampin.

Week 6

Therapy adjustment: Gentamicin discontinued after 10 days; doxycycline and rifampin continued for 6 weeks.

Follow-up (3, 6, and 12 months)

Outcome: Full recovery; no relapse or recurrence noted.