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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Format: | Article |
Language: | English |
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Galenos Yayinevi
2022-09-01
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Series: | Bagcilar Medical Bulletin |
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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. |
first_indexed | 2024-04-10T11:04:23Z |
format | Article |
id | doaj.art-51b947af534b4185b03b79f6bea96243 |
institution | Directory Open Access Journal |
issn | 2547-9431 |
language | English |
last_indexed | 2024-04-10T11:04:23Z |
publishDate | 2022-09-01 |
publisher | Galenos Yayinevi |
record_format | Article |
series | Bagcilar Medical Bulletin |
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 |