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- Title
Osteoarticular involvement of brucellosis in pediatric patients: clinical and laboratory characteristics.
- Authors
Çiftdoğan, Dilek Yılmaz; Aslan, Selda
- Abstract
Background and objectives. The aim of this study was to evaluate the clinical and laboratory characteristics of osteoarticular involvement in children with brucellosis. Methods. A total of 202 pediatric brucellosis patients were evaluated from April 2012 to August 2013. Results. Among the 202 patients, 53 (26.2%) had osteoarticular involvement. In patients with osteoarticular involvement, the mean values of estimated sedimentation rate (ESR) and C-reactive protein (C-RP) were significantly higher than in patients without osteoarticular involvement (p = 0.001, p = 0.01, respectively). The majority of patients with osteoarticular involvement (n = 48, 90.6%) had a higher standard tube agglutination (STA) test titer (= 1/640) than patients without osteoarticular involvement (n = 69, 46.3%) (p = 0.001). The most commonly found osteoarticular involvement was peripheral arthritis. The second most commonly found osteoarticular involvement was sacroiliitis (n = 5, 9.4%). Three patients (5.7%) had spondylitis. Only one patient (1.9%) had osteomyelitis. Conclusions. Osteoarticular involvement was detected in nearly one of every four childhood brucellosis patients in our study. Brucellosis should be considered as a pre-diagnosis in children with osteoarticular complaints, especially in regions where the disease is endemic.
- Subjects
PATHOLOGICAL laboratories; BRUCELLA; C-reactive protein; BRUCELLOSIS; ENDEMIC diseases
- Publication
Turkish Journal of Pediatrics, 2020, Vol 62, Issue 2, p199
- ISSN
0041-4301
- Publication type
Article
- DOI
10.24953/turkjped.2020.02.005