AI Summary & Key Takeaways
AI InsightThese cases have been presented with the purpose of reminding that in countries like Turkey in which it is endemically seen, brucellosis with multisystemic involvement which is rarely seen especially in children, can cause a false diagnosis and unnecessary treatment due to its mimicking acute abdomen.
📌 3 Key Takeaways
Abstract
Brucellosis is a zoonotic infectious disease having still high mortality in Turkey. Despite the fact that the gastrointestinal system involvement is frequent, the manifestation of acute abdomen is rarely seen. Rebound, defense and sensitivity, which make one think of acute abdomen, were present in both cases, who presented with the complaints of abdominal pain and fever. While the aspartate aminotransferase level was high in both cases, one of the cases had hepatosplenomegaly. In the first case, Wright tube agglutination was measured as 1/1280 positive. In the second case, Wright tube agglutination was 1/320 positive, and Brucella Melitensis proliferated in blood cultivation. Specific antibiotherapy (rifampicine and doxycycline) was begun in both cases. Both recovered without any complications. These cases have been presented with the purpose of reminding that in countries like Turkey in which it is endemically seen, brucellosis with multisystemic involvement which is rarely seen especially in children, can cause a false diagnosis and unnecessary treatment due to its mimicking acute abdomen.
Özet
Bruselloz, Türkiye’de halen morbiditesi yüksek zoonotik bir infeksiyon hastalığıdır. Gastrointestinal tutulum sık olmasına rağmen akut batın tablosu nadir görülmektedir. Karın ağrısı ve ateş şikayetleriyle başvuran her iki olgumuzda akut batın düşündüren rebaund, defans ve hassasiyet mevcuttu. Birinci olguda hepatosplenomegali varken, her iki olgunun aspartat aminotransferaz değeri yüksek idi. Birinci olgumuzda Wright tüp aglütinasyonu 1/1280 iken ikinci olgumuzda kan kültüründe Brucella melitensis üredi ve Wright tüp aglütinasyonu 1/320 idi. Olgulara spesifik antibiyoterapiye başlandı. Her iki olgu da komplikasyonsuz iyileşti. Bu olgular; Türkiye gibi endemik görülen ülkeler de multisistemik tutulum gösteren brusellozun özellikle çocuklarda nadir görülen akut batın tablosunu taklit etmesi sonucu yanlış tanı konulmasına ve gereksiz tedaviler yapılmasına yol açabileceğinin hatırlatılması amacıyla sunulmuştur.