Children and adults skeletal complications of Brucellosis

Background and Objective: Skeletal complications are common in brucellosis. Early diagnosis of these complications may prevent surgical procedures. The aim of this study was to evaluate the skeletal complications of brucellosis in Babol town. Methods: This study was conducted on patients with skelet...

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Autores principales: MR Hassanjani Roshan, SM Esmaeilnejad Ganji, M Haji Ahmadi
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Publicado: Babol University of Medical Sciences 2003
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spelling oai:doaj.org-article:4fac68f7fff84b54ad5c46a45d7a5b362021-11-10T09:18:00ZChildren and adults skeletal complications of Brucellosis1561-41072251-7170https://doaj.org/article/4fac68f7fff84b54ad5c46a45d7a5b362003-01-01T00:00:00Zhttp://jbums.org/article-1-2796-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170Background and Objective: Skeletal complications are common in brucellosis. Early diagnosis of these complications may prevent surgical procedures. The aim of this study was to evaluate the skeletal complications of brucellosis in Babol town. Methods: This study was conducted on patients with skeletal complications of brucellosis referred to infectious diseases and orthopedic departments during 1998-2001. Skeletal complications and laboratory test results were recorded in questionnaire. Proportions were compared with X² and Fisher exact tests. Findings: From 431 cases, 161 (37.6%) were with skeletal complications (94 [58.4%] were male and 67 [41.6%] were female). Mean age±SD of adults and children were 34±17.6 and 9.5±4.2 years, respectively. Among 127 adult cases, 79 (62%) had peripheral arthritis which in 48 (37.8%) cases was as monoarthritis. Peripheral arthritis was seen in 32 (94%) of 34 cases of children, which in 26 (76.5%) was as monoarthritis. Peripheral arthritis and hip involvement in children were more common than adults (P<0.05), but spondylitis was more common in adult cases (P<0.05). In 14 (8.7%) cases, brucellosis was diagnosed after surgery. Normal erythrocyte sedimentation rate (ESR) and positive rheumatoid factor were seen in 80.7% and 15.5% cases, respectively. Conclusion: Since, skeletal complications of brucellosis is similar to septic arthritis and also rheumatologic disorders and monoarthritis are the most common form of these complications therefore, it is recommended that in endemic regions, brucellosis should be considered in differential diagnosis of all cases with monoarthritis.MR Hassanjani RoshanSM Esmaeilnejad GanjiM Haji AhmadiBabol University of Medical Sciencesarticlebrucellosisskeletal complicationschildhood brucellosisperipheral arthritisspondylitisMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 5, Iss 1, Pp 21-26 (2003)
institution DOAJ
collection DOAJ
language EN
FA
topic brucellosis
skeletal complications
childhood brucellosis
peripheral arthritis
spondylitis
Medicine
R
Medicine (General)
R5-920
spellingShingle brucellosis
skeletal complications
childhood brucellosis
peripheral arthritis
spondylitis
Medicine
R
Medicine (General)
R5-920
MR Hassanjani Roshan
SM Esmaeilnejad Ganji
M Haji Ahmadi
Children and adults skeletal complications of Brucellosis
description Background and Objective: Skeletal complications are common in brucellosis. Early diagnosis of these complications may prevent surgical procedures. The aim of this study was to evaluate the skeletal complications of brucellosis in Babol town. Methods: This study was conducted on patients with skeletal complications of brucellosis referred to infectious diseases and orthopedic departments during 1998-2001. Skeletal complications and laboratory test results were recorded in questionnaire. Proportions were compared with X² and Fisher exact tests. Findings: From 431 cases, 161 (37.6%) were with skeletal complications (94 [58.4%] were male and 67 [41.6%] were female). Mean age±SD of adults and children were 34±17.6 and 9.5±4.2 years, respectively. Among 127 adult cases, 79 (62%) had peripheral arthritis which in 48 (37.8%) cases was as monoarthritis. Peripheral arthritis was seen in 32 (94%) of 34 cases of children, which in 26 (76.5%) was as monoarthritis. Peripheral arthritis and hip involvement in children were more common than adults (P<0.05), but spondylitis was more common in adult cases (P<0.05). In 14 (8.7%) cases, brucellosis was diagnosed after surgery. Normal erythrocyte sedimentation rate (ESR) and positive rheumatoid factor were seen in 80.7% and 15.5% cases, respectively. Conclusion: Since, skeletal complications of brucellosis is similar to septic arthritis and also rheumatologic disorders and monoarthritis are the most common form of these complications therefore, it is recommended that in endemic regions, brucellosis should be considered in differential diagnosis of all cases with monoarthritis.
format article
author MR Hassanjani Roshan
SM Esmaeilnejad Ganji
M Haji Ahmadi
author_facet MR Hassanjani Roshan
SM Esmaeilnejad Ganji
M Haji Ahmadi
author_sort MR Hassanjani Roshan
title Children and adults skeletal complications of Brucellosis
title_short Children and adults skeletal complications of Brucellosis
title_full Children and adults skeletal complications of Brucellosis
title_fullStr Children and adults skeletal complications of Brucellosis
title_full_unstemmed Children and adults skeletal complications of Brucellosis
title_sort children and adults skeletal complications of brucellosis
publisher Babol University of Medical Sciences
publishDate 2003
url https://doaj.org/article/4fac68f7fff84b54ad5c46a45d7a5b36
work_keys_str_mv AT mrhassanjaniroshan childrenandadultsskeletalcomplicationsofbrucellosis
AT smesmaeilnejadganji childrenandadultsskeletalcomplicationsofbrucellosis
AT mhajiahmadi childrenandadultsskeletalcomplicationsofbrucellosis
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