Journals / Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi / 2011 / Cilt: 16 - Sayı: 1

Seronegative Brucellar oligoarthritis: a case report with delayed diagnosis

Seronegatif Brusella oligoartriti: gecikmiş tanı alan bir olgu sunumu

Pages
42–46
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We emphasize the importance of the microbiological examination of the synovial fluid in patients with septic arthritis since brucellosis shows endemicity in regions like our country.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Brucellosis is an infectious disease that causes confusion and diagnostic dilemma because it is a multisystem disease that appears in different clinical forms.
📊
Key Findings & Data:In this study, we describe a case who presented with pain and edema in both knees, with a delayed diagnosis of brucellosis because of the seronegativity.
💡
Conclusion & Impact:We emphasize the importance of the microbiological examination of the synovial fluid in patients with septic arthritis since brucellosis shows endemicity in regions like our country.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Brucellosis is an infectious disease that causes confusion and diagnostic dilemma because it is a multisystem disease that appears in different clinical forms. In this study, we describe a case who presented with pain and edema in both knees, with a delayed diagnosis of brucellosis because of the seronegativity. Bilateral involvement of the knees is quite uncommon in brucellosis. We emphasize the importance of the microbiological examination of the synovial fluid in patients with septic arthritis since brucellosis shows endemicity in regions like our country.

Özet

Bruselloz multisistemik bir hastalık olması ve değişik klinik şekillerde ortaya çıkması nedeniyle çoğunlukla tanı karmaşasına neden olan bir infeksiyon hastalığıdır. Bu yazıda ateş, bilateral diz eklemlerinde ağrı ve şişlik nedeniyle başvuran, seronegatif olduğu için tanısı geciken bir olgu sunulmuştur. Brusellozda bilateral diz eklemi tutulumu oldukça nadirdir. Ülkemiz gibi brusellozun endemik olduğu bölgelerde septik artritli hastaların tanısında sinovyal sıvının mikrobiyolojik incelemesinin önemi vurgulanmaya çalışılmıştır.

🔖

Cite This Article

İNCİ, A. N., ÇELİK, İ., ÜNLÜ, F. (2011). Seronegative Brucellar oligoarthritis: a case report with delayed diagnosis. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, Cilt: 16 - Sayı: 1, 42–46. https://ajindex.com/articles/203612

References (18)

  1. Mousa AR, Muhtaseb SA, Almudallal DS, Khodeir SM, Marafie AA. Osteoarticular complications of brucellosis: a study of 169 cases. Rev Infect Dis 1987;9:531-43
  2. Bosilkovski M, Krteva L, Caparoska S, Dimzova M. Osteoarticular involvement in brucellosis: study of 196 cases in the Republic of Macedonia. Croat Med J 2004;45:727-33
  3. Young EJ. Serologic diagnosis of human brucellosis: analysis of 214 cases by agglutination tests and review of the literature. Rev Infect Dis 1991;13(Suppl 3): S359-S72
  4. Karakartal G, Tekelioğlu A. Bir seronegatif bruselloz olgusu. İnfeks Derg 1987;1:133-5
  5. Bilgehan H. Çeşitli patojen bakteriler. Klinik Mikrobiyolojik Tanı
  6. Baskı. İzmir: Fakülteler Kitabevi, 2002:475-8
  7. Ibero I, Vela P, Pascual E. Arthritis of shoulder and spinal cord compression due to brucella disc infection. Br J Rheumatol 1997;36:377-81
  8. Batlle E, Pascual E, Salas E, Plazas J, Roman J, Vela P. Brucellar arthritis: a study of 75 prospectively collected patients. Br J Rheumatol 1989;28(Suppl 2):S25
  9. Gotuzzo E, Alarcon GS, Bocanegra TS, Carrillo C, Guerra JC, Rolando I, et al. Articular involvement in human brucellosis: a retrospective analysis of 304 cases. Semin Arthritis Rheum 1982;12:245-55
  10. Goldenberg DL, Reed Jl. Bacterial arthritis. N Engl J Med 1985;312:764-71
  11. Andonopoulos AP, Asimakopoulos G, Anastasiou E, Bassars HP. Brucella arthritis. Scand J Rheumatol 1986;15:377-80
  12. Hodinka L, Gomor B, Meretey K, Zahumenszky Z, Geher P, Telegdy L, et al. HLA-B27 associated spondylarthritis in chronic brucellosis. Lancet 1978;1:499
  13. Al-Rawi ZS, Al-Khateeb N, Khalia Sj. Brucella arthritis among Iraqi patients. Br J Rheumatol 1987;26:24-7
  14. Bocanegra TS, Gotuzzo EH, Alarcon GS, et al. Circulating immune complexes in acute typhoid fever and brucellosis: correlation with disease activity [Abstract]. Clin Res 1981;29:381A
  15. Ayaşlıoğlu E, Özlük Ö, Kılıç D, Kaygusuz S, Kara S, Aydın G, et al. A case of brucellar septic arthritis of the knee with a prolonged clinical course. Rheumatol Int 2005;25:69-71
  16. Press J, Peled N, Buskila D, Yagupsky P. Leukocyte count in the synovial fluid of children with culture-proven brucellar arthritis. Clin Rheumatol 2002;21:191-3
  17. Bannatyne RM, Jackson MC, Memish Z. Rapid diagnosis of Brucella bacteremia by using the BACTEC 9240 system. ] Clin Microbiol 1997;35:2673-4
  18. El Miedany YM, El Gaafary M, Baddour M, Ahmed I. Human brucellosis: do we need to revise our therapeutic policy? J Rheu