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- Title
Evaluation of Complicated and Uncomplicated Brucellosis Cases in the Endemic Region.
- Authors
Sayar, Merve Sefa; Bulut, Dilek; Öztürk, Doğan Barış
- Abstract
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.
- Subjects
BRUCELLOSIS; HOSPITAL patients; MEDICAL care; PROGNOSIS; MICROORGANISMS
- Publication
Bagcilar Medical Bulletin / Bağcılar Tıp Bülteni, 2022, Vol 7, Issue 3, p205
- ISSN
2547-9431
- Publication type
Article
- DOI
10.4274/BMB.galenos.2022.2022-03-028