Author/Authors
KARA, Soner Sertan Erzurum Bölge Eğitim ve Araştırma Hastanesi - Çocuk Enfeksiyon Hastalıkları Kliniği, Turkey , ASLAN, Mehtap Hülya Erzurum Bölge Eğitim ve Araştırma Hastanesi - Mikrobiyoloji Bölümü, Turkey , VOLKAN, Burcu Erzurum Bölge Eğitim ve Araştırma Hastanesi - Çocuk Sağlığı ve Hastalıkları Kliniği, Turkey , ÖZEL, Metin Erzurum Bölge Eğitim ve Araştırma Hastanesi - Çocuk Sağlığı ve Hastalıkları Kliniği, Turkey , FETTAH, Ali Erzurum Bölge Eğitim ve Araştırma Hastanesi - Çocuk Sağlığı ve Hastalıkları Kliniği, Turkey
Title Of Article
RETROSPECTIVE EVALUATION OF 94 PEDIATRIC PATIENTS WITH BRUCELLOSIS DIAGNOSIS
شماره ركورد
42250
Abstract
Objective: In this study, evaluation of socioeconomic, clinical, and laboratory properties of children with brucellosis in our hospital was aimed. Material and methods: Between September 2009-December 2014, children below 16 years old, who were diagnosed with brucellosis in Tertiary Medical Center, were retrospectively evaluated. Results: During the study period, 94 children with adequate data were included. The mean age of patients was 8.85±3.69 years and 46.8% was male. Of all, 75.5% were living in rural area, 87.2% had consumption of unpasteurized milk-cheese, 69.1% had animal husbandry, and 30.8% had family brucellosis history. Median admission time after the symptoms was 16 (range, 7-45) days. The most frequent admission symptoms were fever (88.2%), arthralgia (85.1%), and malaise (80.8%), while physical examination findings were fever (44.6%), arthritis (12.7%), and hepatomegaly (8.5%). All of the cases of arthritis were monoarticular and mostly knee was involved. Leukocyte count, C-reactive protein, erythrocyte sedimentation rate, and transaminases were within normal limits. At least one type of cytopenia was observed in 13.5% of patients. Rose Bengal test was positive in 91.5%, Brucellar standard tube agglutination test was positive in 88.2%, Brucellar Coombs agglutination test was positive in 94.6% and Brucella spp. grew in blood culture %7.1 of patients. Two patients had hepatitis and 1 patient had meningoencephalitis. In one year, 7 patients had relapse/reinfection. No mortality was observed in the study. Conclusion: Brucellosis is a frequent disease in Eastern Anatolian Region and it should always be kept in mind in especially endemic countries due to nonspecific clinical and laboratory findings. By the help of appropriate antibiotic treatment duration, complications of the disease and treatment failure could be diminished.
From Page
60
NaturalLanguageKeyword
Brucellosis , Child , Eastern Anatolian Region
JournalTitle
Kocatepe Medical Journal
To Page
65
JournalTitle
Kocatepe Medical Journal
Link To Document