AI Summary & Key Takeaways
AI InsightThe brucellosis should be taken into consideration in the diagnosis when a new born is presented with arthritis.
📌 3 Key Takeaways
Abstract
Brucellosis is primarily a zoonotic infection. Rarely transmission from infected mother to newborn is reported. The acquisition of brucellosis in newborn can be through transplacentally, during delivery or postnatally through human milk. Brucellosis was diagnosed in a 31 week, 1500gr infant which was presented to us with arthritis 34 days after delivery. At the same time her mother was presented with fever and arthritis and brucellosis is reported based on a positive seroagglutination test. The infant had been only breast-fed so transmission was probably by human milk or transplacentally. The patient was treated with rifampicin and co-trimoxazole for 6 weeks and she recovers completely. No relapse or chronic disease was noticed during 15 month follow up of patient. The brucellosis should be taken into consideration in the diagnosis when a new born is presented with arthritis.
Özet
Brusellozun geçiş yolları; transplasental, perinatal kan ve diğer materyallerle maruziyet, postnatal dönemde beslenme sırasında anne sütü veya meme çatlaklarındaki kanın alınması ile olmaktadır. 31 haftalık 1500 gr. doğan ve 34 günlük iken sağ dizde artrit bulguları ile getirilen olguya ve ateş, artrit bulguları olan annesine klinik ve serolojik testler ile bruselloz tanısı konuldu. Sadece anne sütü ile beslenmiş olan hastaya bulaşın transplasental, perinatal veya anne sütü ile olabileceği düşünüldü. Konjenital bruselloz tanısı konulan hastaya rifampisin ve trimetoprim sülfometaksazol tedavisi 6 hafta verilerek şifa sağlandı. 15 aylık izlemde kronikleşme görülmedi. Yenidoğan artritinin etyolojisinde konjenital brusellanın da düşünülmesi gereklidir.