Musculoskeletal complications of brucellosis Brusellozda kas i̇skelet sistemi komplikasyonlari
Trakya Universitesi Tip Fakultesi Dergisi, cilt.25, sa.1, ss.20-25, 2008 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 25 Sayı: 1
- Basım Tarihi: 2008
- Dergi Adı: Trakya Universitesi Tip Fakultesi Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.20-25
- Anahtar Kelimeler: Brucellosis/ complications, Muscle, skeletal/physiopathology
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objectives: The aim of this study was to evaluate clinical and laboratory findings and musculoskeletal complications of brucellosis. Patients and Methods: The study included 26 patients (18 males, 8 females, mean age 52.4 years; range 18 to 82 years) with a diagnosis of musculoskelatal brucellosis. All patients were questioned with respect to demographic characteristics, initial types of symptoms, and risk factors. Symptoms, clinical and laboratory findings, and musculoskeletal involvement were recorded and plain radiographies were assessed. Results: Seventeen patients (65.4%) presented with acute, and nine patients (34.6%) presented with chronic symptoms. Clinical and radiographic assessments showed spondylitis in 12 patients, of which 10 patients had lumbar involvement. Sacroileitis was detected in 10 patients, being unilateral in six. Peripheral arthritis was detected in seven patients (26.9%), and the most commonly affected peripheral joint was the knee. In addition, eight patients had abscess, and four had neurological involvement. Conclusion: The most common musculoskeletal involvement in brucellosis is spondylitis, mainly affecting the lumbar segments. Patients with musculoskeletal complications should be investigated for paraspinal abscesses and monitored closely for neurological deficits. ©Medical Journal of Trakya University. Published by Ekin Medical Publishing. All rights reserved.