Evaluation of Complicated and Uncomplicated Brucellosis Cases in the Endemic Region

Objective:It was aimed to investigate the clinical and laboratory changes in complicated and uncomplicated brucellosis cases.Method:Within the scope of the study, 268 brucellosis patients (aged ≥18 years) hospitalized in the infectious diseases unit or seen in outpatient clinics were evaluated retro...

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Main Authors: Merve Sefa Sayar, Dilek Bulut, Doğan Barış Öztürk
Format: Article
Language:English
Published: Galenos Yayinevi 2022-09-01
Series:Bagcilar Medical Bulletin
Subjects:
Online Access: http://behmedicalbulletin.org/archives/archive-detail/article-preview/evaluation-of-complicated-and-uncomplicated-brucel/52666
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author Merve Sefa Sayar
Dilek Bulut
Doğan Barış Öztürk
author_facet Merve Sefa Sayar
Dilek Bulut
Doğan Barış Öztürk
author_sort Merve Sefa Sayar
collection DOAJ
description Objective:It was aimed to investigate the clinical and laboratory changes in complicated and uncomplicated brucellosis cases.Method:Within the scope of the study, 268 brucellosis patients (aged ≥18 years) hospitalized in the infectious diseases unit or seen in outpatient clinics were evaluated retrospectively. The complicated and uncomplicated brucellosis cases were assessed.Results:In the study, 268 brucellosis patients were evaluated and it was observed that 80.7% of the patients consumed fresh cheese. Also, 93.2, 90.8, 88.8 and 84% of the cases had symptoms such as arthralgia, weakness, sweating and fever, respectively. Anemia, leukopenia, leukocytosis, thrombocytopenia and increased C-reactive protein (CRP) were also detected in 25.9, 4.9, 7.2, 9.2 and 60.2% of patients, respectively. It was found that 32.4% of the patients developed complications, and the complications were osteoarticular in 59 patients (67.8%), genitourinary in 17 (19.5%) and hematological in three (3.44%) cases. The complications were more common in male patients. CRP and neutrophil/lymphocyte ratios (NLR) were also found higher in complicated cases.Conclusion:Since values such as gender, CRP and NLR were significantly different in complicated brucellosis cases from the noncomplicated group, it is considered that a significant increase may have been detected in infection parameters due to the longer exposure time to the microorganism. For this reason, early detection of complications and timely diagnosis play a vital role to improve the prognosis.
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spelling doaj.art-51b947af534b4185b03b79f6bea962432023-02-15T16:19:29ZengGalenos YayineviBagcilar Medical Bulletin2547-94312022-09-017320521110.4274/BMB.galenos.2022.2022-03-02813049054Evaluation of Complicated and Uncomplicated Brucellosis Cases in the Endemic RegionMerve Sefa Sayar0Dilek Bulut1Doğan Barış Öztürk2 Bursa High Specialization Training and Research Hospital, Clinic of Infectious Diseases and Clinical Microbiology, Bursa, Turkey University of Health Sciences Turkey, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of of Infectious Diseases and Clinical Microbiology, Ankara, Turkey General Directorate for Public Health, The Ministry of Health, Ankara, Turkey Objective:It was aimed to investigate the clinical and laboratory changes in complicated and uncomplicated brucellosis cases.Method:Within the scope of the study, 268 brucellosis patients (aged ≥18 years) hospitalized in the infectious diseases unit or seen in outpatient clinics were evaluated retrospectively. The complicated and uncomplicated brucellosis cases were assessed.Results:In the study, 268 brucellosis patients were evaluated and it was observed that 80.7% of the patients consumed fresh cheese. Also, 93.2, 90.8, 88.8 and 84% of the cases had symptoms such as arthralgia, weakness, sweating and fever, respectively. Anemia, leukopenia, leukocytosis, thrombocytopenia and increased C-reactive protein (CRP) were also detected in 25.9, 4.9, 7.2, 9.2 and 60.2% of patients, respectively. It was found that 32.4% of the patients developed complications, and the complications were osteoarticular in 59 patients (67.8%), genitourinary in 17 (19.5%) and hematological in three (3.44%) cases. The complications were more common in male patients. CRP and neutrophil/lymphocyte ratios (NLR) were also found higher in complicated cases.Conclusion:Since values such as gender, CRP and NLR were significantly different in complicated brucellosis cases from the noncomplicated group, it is considered that a significant increase may have been detected in infection parameters due to the longer exposure time to the microorganism. For this reason, early detection of complications and timely diagnosis play a vital role to improve the prognosis. http://behmedicalbulletin.org/archives/archive-detail/article-preview/evaluation-of-complicated-and-uncomplicated-brucel/52666 brucellosiscomplicationc-reactive proteinneutrophil/lymphocyte ratio
spellingShingle Merve Sefa Sayar
Dilek Bulut
Doğan Barış Öztürk
Evaluation of Complicated and Uncomplicated Brucellosis Cases in the Endemic Region
Bagcilar Medical Bulletin
brucellosis
complication
c-reactive protein
neutrophil/lymphocyte ratio
title Evaluation of Complicated and Uncomplicated Brucellosis Cases in the Endemic Region
title_full Evaluation of Complicated and Uncomplicated Brucellosis Cases in the Endemic Region
title_fullStr Evaluation of Complicated and Uncomplicated Brucellosis Cases in the Endemic Region
title_full_unstemmed Evaluation of Complicated and Uncomplicated Brucellosis Cases in the Endemic Region
title_short Evaluation of Complicated and Uncomplicated Brucellosis Cases in the Endemic Region
title_sort evaluation of complicated and uncomplicated brucellosis cases in the endemic region
topic brucellosis
complication
c-reactive protein
neutrophil/lymphocyte ratio
url http://behmedicalbulletin.org/archives/archive-detail/article-preview/evaluation-of-complicated-and-uncomplicated-brucel/52666
work_keys_str_mv AT mervesefasayar evaluationofcomplicatedanduncomplicatedbrucellosiscasesintheendemicregion
AT dilekbulut evaluationofcomplicatedanduncomplicatedbrucellosiscasesintheendemicregion
AT doganbarısozturk evaluationofcomplicatedanduncomplicatedbrucellosiscasesintheendemicregion