AI Summary & Key Takeaways
AI InsightRelaps rate was 4.7%.
📌 3 Key Takeaways
Abstract
Involvement of systems in cases with brucellosis in a five year period were evaluated retrospectively. Sixty-eight cases with at least one manifestation of involvement of systems were included. Rates of involve¬ment of systems was found; hematologic system 72%, osteoarticular system 49%, hepatobiliary system 37%, neurologic system 7%, respiratory system, genitourinary system, cutaneous 3% and cardiovascular system I %. Anemia (60%) was found as the most frequent manifestation of involvement of hematologic system and peripheric arthritis (40%) was found as the most frequent involvement of osteoarticular system. Forty-eight patients had one system involvement. Twenty patients had more than one system involvement (17 patients had two, 16 patients had three, eight patients had four). Anemia and arthritis were found as the most frequ¬ent manifestations seen together. Surgical treatment was required in three (4.4%) patients with complications (two patients with radiculoneuritis, one with endocarditis). There was not any important complication related with system involvement of brucellosis except two cases with neurobrucellosis related paraplegia. Relaps rate was 4.7%.
Özet
Kliniğimizde beş yıllık sürede izlenen bruselloz olguları sistem tutulumları açısından geriye dönük olarak değerlendirildi. En az bir sistem tutulum bulgusu gösteren 68 olgu çalışmaya alındı. Sistem tutulumları sıklık sırasına göre; hematolojik sistem %72, osteoartiküler sistem %49, hepatobiliyer sistem %37, sinir sistemi %7, solunum sistemi, genitoüriner sistem, deri %3 ve kardiyovasküler sistem %l oranlarında saptandı. En sık hematolojik tutulum bulgusu anemi (%60), en sık osteoartiküler tutulum bulgusu periferik artrit (%40) idi. Kırk-sekiz olguda tek bir tutulum bulgusu gözlenirken, 20 olguda birden fazla (17 olguda iki, 16 olguda üç, sekiz olguda dört) tutulum bulgusu birlikte bulunuyordu. En sık birlikte bulunan tutulum bulgusu artrit ve anemi (15 olgu) idi. Üç (%4.4) hastada (iki radikülonevritli, bir endokarditli) cerrahi tedavi gerekti, iki hastada nörobru-selloza bağlı gelişen parapleji dışında diğer tutulum bulgularına bağlı önemli bir komplikasyon gelişmedi. Re-laps oranı %4.7 olarak saptandı.