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dc.contributor.authorOzden, Hale Turan
dc.contributor.authorTogan, Turhan
dc.date.accessioned2019-11-22T07:49:52Z
dc.date.available2019-11-22T07:49:52Z
dc.date.issued2015
dc.identifier.issn2602-3032
dc.identifier.urihttps://dergipark.org.tr/tr/download/article-file/47464
dc.identifier.urihttp://hdl.handle.net/11727/4223
dc.description.abstractPurpose: Brucellosis is a systemic disease that can affect many organs and tissues. Musculoskeletal system is one of the most commonly affected systems. Disease may present itself with sacroiliitis, peripheral arthritis, spondylitis, paraspinal abscess, bursitis or osteomyelitis. The objective of the present study was to determine the frequency, types and clinical features of osteoarticular involvement among cases with brucellosis in Konya city and to establish the differences between patients with and without osteoarticular involvement. Material and Methods: Three hundred and sixteen patients with Brucellosis who presented between June 2003 and June 2014 were included in the study. Brucellosis was diagnosed by positive Bruce Ila Standard Agglutination Test (1/160 titer) and/or growth of Bruce Ila spp. in blood culture in addition to the presence of clinical signs and findings. Diagnosis of osteoarticular system complications was established by physical examination and radiological findings obtained by diagnostic imaging tools. Magnetic resonance images of the thoracic, lumbar or sacral vertebrae were acquired in patients with back pain, low back pain and sacro-iliac joint pain. Results: Osteoarticular involvement was noted in 129 patients (40.8%) (females: 52% and males: 48%). The most common route of transmission was employment in farming and/or consumption of un-pasteurized milk or dairy products, especially fresh cheese, in 97 (75%) cases. Mean age was 46 18 years. Sacroiliitis was the most frequent osteoarticular involvement (n: 68, 52.7%), 70.5% of which were bilateral. Sacroiliitis was followed by spondylodiscitis in 35 (38.7%), peripheral arthritis in 20 (15.5%), bursitis in 1 (0.8%) cases. Patients with osteoarticular involvement received medical treatment for at least three months. Discussion: Ratio and anatomical region of osteoarticular involvement in brucellosis shows variability among areas. In the present study, we demonstrated that sacroiliitis was the most common form in Konya city. This disease should be included in differential diagnosis in patients with symptoms of sacroiliitis, spondylodiscitis or those with articular pain. Key words: Brucellosis, osteoarticular involvementen_US
dc.language.isoturen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBrucellosisen_US
dc.subjectosteoarticular involvementen_US
dc.titleOsteoarticular Involvement among Brucellosis Cases in Konya Cityen_US
dc.typearticleen_US
dc.relation.journalCUKUROVA MEDICAL JOURNALen_US
dc.identifier.volume40en_US
dc.identifier.issue3en_US
dc.identifier.startpage483en_US
dc.identifier.endpage494en_US
dc.identifier.wos000360665300010en_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergien_US


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