Epidemiological and clinical features of Brucella arthritis in 24 children

Zamani, Ali, Kooraki, Soheil, Mohazab, Razieh Adabi, Zamani, Narges, Matloob, Reza, Hayatbakhsh, Mohammad R. and Raeeskarami, Seyed Reza (2011) Epidemiological and clinical features of Brucella arthritis in 24 children. Annals of Saudi Medicine, 31 3: 270-273. doi:10.4103/0256-4947.81543

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Author Zamani, Ali
Kooraki, Soheil
Mohazab, Razieh Adabi
Zamani, Narges
Matloob, Reza
Hayatbakhsh, Mohammad R.
Raeeskarami, Seyed Reza
Title Epidemiological and clinical features of Brucella arthritis in 24 children
Journal name Annals of Saudi Medicine   Check publisher's open access policy
ISSN 0256-4947
1319-9226
Publication date 2011-05
Sub-type Article (original research)
DOI 10.4103/0256-4947.81543
Open Access Status DOI
Volume 31
Issue 3
Start page 270
End page 273
Total pages 4
Place of publication Mumbai, Maharashtra, India
Publisher Medknow Publications and Media
Collection year 2012
Language eng
Formatted abstract
BACKGROUND AND OBJECTIVES:
Brucellosis is considered the leading zoonotic disease of the Middle East. The disease has a wide spectrum of clinical manifestations and can result in complications with severe morbidity. The aim of this study was to evaluate the frequency, distribution and characteristics of arthritis in Iranian children with brucellosis.
DESIGN AND SETTING:
A retrospective descriptive study conducted in a referral children center in Tehran from 1997 to 2005.
PATIENTS AND METHODS:
Arthritis in children with brucellosis who were admitted to a specialized hospital was detected by clinical signs of the involved joint(s) and characteristics of joint fluid aspiration. Socio-demographic information was recorded.
RESULTS:
Of 96 patients diagnosed with brucellosis, 24 (25%) had Brucella arthritis 14 (58.3%) males and 10 (41.7%) females. Most common manifestations were fever in 21 patients (87.5%) and fatigue in 18 patients (75%). Monoarthritis was recorded in 15 patients (62.5%) of the cases with involvement of the knee in 8 (45%) and hip in 5 (29%), the ankle in 2 (8%) patients while 9 (37.5%) patients suffered from polyarthritis. None of the patients had axial joints involvement. Seventy-five percent of the subjects (18 patients) were from urban areas and 66.7% (16 patients) had consumed un-pasteurized cheese. Recurrence was not seen in any of the 24 patients who received a combination of co-trimoxazole for 6 weeks and gentamicin for 5 days.
CONCLUSION:
Childhood brucellosis is a challenging disease in Iran that has serious complications like arthritis. Therefore all physicians who work in endemic areas should be familiar with this disease and consider the possibility of brucellosis in all children who present with arthritis and arthralgia.
Keyword Childhood Brucellosis
Complications
Involvement
Babol
Iran
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
 
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