Brucellosis: a retrospective evaluation of 164 cases

Singapore Medical Journal
Esra KazakSafiye Helvacı

Abstract

Brucellosis is a public health problem that is prevalent in several developing countries. The clinical and laboratory characteristics of 164 cases of brucellosis in Bursa, Turkey, were retrospectively evaluated. The ages of the 164 patients ranged from 15-85 years. All of the patients underwent the Rose Bengal test and 163 (99.4%) patients tested positive. 122 (74.4%) patients were diagnosed with acute brucellosis, 31 (18.9%) with subacute brucellosis and 11 (6.7%) with chronic brucellosis. Focal involvement was found in 101 (61.6%) patients. Although patients with focal involvement had a higher white blood cell count (p = 0.002), those without focal involvement had higher aspartate transaminase and alanine transaminase values, and lower platelet values (p = 0.005, 0.007 and 0.039, respectively). Spondylodiscitis was observed on imaging in 58 (66.7%) of the 87 patients who presented with back pain. Among the 118 patients who were examined within the first month of treatment, 79 (66.9%) responded to treatment. The relapse rate was 11.6% among all 164 patients. Brucellosis should be considered as a differential diagnosis among patients who present with fever, and joint or back pain. Focal involvement should be investigated in the...Continue Reading

Citations

Jan 3, 2009·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Halis AkalinSuna Gedikoğlu
Mar 10, 2018·Journal of Medical Case Reports·Julio César García CasallasIngrid Marisol Fino Solano
Feb 23, 2019·World Journal of Orthopedics·Seyed Mokhtar Esmaeilnejad-Ganji, Seyed Mohammad Reza Esmaeilnejad-Ganji
Oct 30, 2019·Open Forum Infectious Diseases·Linda HassounehAnk E Nijhawan

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