Brucellosis arthritis: infection or inflammation of joint?

authors:

avatar M avijgan 1 , * , avatar I Karimi 1 , avatar Abbasali Javadi 2 , avatar M Izadi 3

Tropical and Infectious disease Dept, Faculty of Medicine, Share Kord University of Medical Sciences and health services, Share Kord, Iran.
Tropical and Infectious disease Dept, Faculty of Medicine, Isfahan University of Medical Sciences and health services, Isfahan, Iran.
Resident of Tropical and Infectious disease, Isfahan, Iran.

how to cite: avijgan M, Karimi I, Javadi A, Izadi M. Brucellosis arthritis: infection or inflammation of joint?. Zahedan J Res Med Sci. 2005;7(1):e94968. 

Abstract

Background: The description of Brucellosis arthritis feature with other findings is the main goal
of this study.
Methods and Materials: This is a 2 years descriptive and prospective study, which includes 40
patients who diagnosed as brucellosis and join involvement.
Results: In this study, arthritis involvements were as follow: Sacroilitis (70%), Peripheral
arthritis (15%), Sacroilitis and arthritis (12/5%) and Spondylitis (2/5%). The other finding of this
study include: Range of age between 15-30 (80%), male to female ratio (5:1), rural to urban ratio
(2: 1), fever more than 38 degree of Centigrade (60%), Normal CBC (90%), relative lymphocytosis
(70%) , ESR more than 25 mm/ 1st hour (100%) , Wright titer 1:320 , and 2ME titer 1:160. With
beginning of standard anti brucellosis regimen and supportive care, there was a 100% cure rate
and no any sequel of arthritis. There was no relapse in next few months follow up of them.
Conclusions: This study confirms previous findings, which indicate, Brucellosis arthritis have a
good prognosis and outcome, without any sequel. So it seems that Brucellosis arthritis are rather
inflammations than infection of joint (Septic arthritis).

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References

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