Could there be an association between chronic brucellosis and endothelial damage?

Introduction: In this study, we examined the effects of Brucella infection on endothelial dysfunction. Flow-mediated dilatation (FMD) measurement is indicator of the endothelial function, and abnormal values indicating endothelial dysfunction are accepted as the first stage of atherosclerosis. Meth...

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Main Authors: Turhan Togan, Ozgur Ciftci, Hale Turan, Huseyin Narci, Hakan Gullu, Hande Arslan
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2015-01-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/4345
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author Turhan Togan
Ozgur Ciftci
Hale Turan
Huseyin Narci
Hakan Gullu
Hande Arslan
author_facet Turhan Togan
Ozgur Ciftci
Hale Turan
Huseyin Narci
Hakan Gullu
Hande Arslan
author_sort Turhan Togan
collection DOAJ
description Introduction: In this study, we examined the effects of Brucella infection on endothelial dysfunction. Flow-mediated dilatation (FMD) measurement is indicator of the endothelial function, and abnormal values indicating endothelial dysfunction are accepted as the first stage of atherosclerosis. Methodology: Twenty-four patients who had been treated for acute brucellosis two years before, and who had had no relapses in the follow-up, were prospectively included in the study, along with 30 healthy individuals in the control group. Results: While the highly sensitive C-reactive protein (hs-CRP) value was 2.42 ± 1.45 in the patient group, it was 1.72 ± 0.61 in the control group (p = 0.025). While the FMD value was 3.50 ± 1.58 in the patient group, it was 5.88 ± 1.88 in the control group (p < 0.001). While the percentage increase in FMD was 9.88 ± 4.92 in the patient group, it was 17.49 ± 6.3 in the control group (p < 0.001). It was observed that FMD value, the percentage increase in FMD, and basal radius were correlated with hs-CRP (r = -0.644, p < 0.001; r = - 0.558, p = 0.002; r = 0.444, p = 0.018, respectively). The carotid artery intima media thickness (IMT) value was found to be 0.61 ± 0.17 in the patient group and 0.49 ± 0.12 in the control group (p = 0.004). Conclusions: The abnormal FMD and IMT values observed in brucellosis patients might be an indicator of more frequent arterial dysfunction, increased cardiovascular risk, and atherosclerosis.
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spelling doaj-art-a56feeed37a34a1c926105ab5935dc022025-08-20T02:27:23ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802015-01-0190110.3855/jidc.4345Could there be an association between chronic brucellosis and endothelial damage?Turhan Togan0Ozgur Ciftci1Hale Turan2Huseyin Narci3Hakan Gullu4Hande Arslan5Faculty of Medicine, Baskent University, Ankara, TurkeyFaculty of Medicine, Baskent University, Ankara, TurkeyFaculty of Medicine, Baskent University, Ankara, TurkeyFaculty of Medicine, Baskent University, Ankara, TurkeyFaculty of Medicine, Baskent University, Ankara, TurkeyFaculty of Medicine, Baskent University, Ankara, TurkeyIntroduction: In this study, we examined the effects of Brucella infection on endothelial dysfunction. Flow-mediated dilatation (FMD) measurement is indicator of the endothelial function, and abnormal values indicating endothelial dysfunction are accepted as the first stage of atherosclerosis. Methodology: Twenty-four patients who had been treated for acute brucellosis two years before, and who had had no relapses in the follow-up, were prospectively included in the study, along with 30 healthy individuals in the control group. Results: While the highly sensitive C-reactive protein (hs-CRP) value was 2.42 ± 1.45 in the patient group, it was 1.72 ± 0.61 in the control group (p = 0.025). While the FMD value was 3.50 ± 1.58 in the patient group, it was 5.88 ± 1.88 in the control group (p < 0.001). While the percentage increase in FMD was 9.88 ± 4.92 in the patient group, it was 17.49 ± 6.3 in the control group (p < 0.001). It was observed that FMD value, the percentage increase in FMD, and basal radius were correlated with hs-CRP (r = -0.644, p < 0.001; r = - 0.558, p = 0.002; r = 0.444, p = 0.018, respectively). The carotid artery intima media thickness (IMT) value was found to be 0.61 ± 0.17 in the patient group and 0.49 ± 0.12 in the control group (p = 0.004). Conclusions: The abnormal FMD and IMT values observed in brucellosis patients might be an indicator of more frequent arterial dysfunction, increased cardiovascular risk, and atherosclerosis. https://jidc.org/index.php/journal/article/view/4345brucellosisatherosclerosisendothelial dysfunctionhs-CRP
spellingShingle Turhan Togan
Ozgur Ciftci
Hale Turan
Huseyin Narci
Hakan Gullu
Hande Arslan
Could there be an association between chronic brucellosis and endothelial damage?
Journal of Infection in Developing Countries
brucellosis
atherosclerosis
endothelial dysfunction
hs-CRP
title Could there be an association between chronic brucellosis and endothelial damage?
title_full Could there be an association between chronic brucellosis and endothelial damage?
title_fullStr Could there be an association between chronic brucellosis and endothelial damage?
title_full_unstemmed Could there be an association between chronic brucellosis and endothelial damage?
title_short Could there be an association between chronic brucellosis and endothelial damage?
title_sort could there be an association between chronic brucellosis and endothelial damage
topic brucellosis
atherosclerosis
endothelial dysfunction
hs-CRP
url https://jidc.org/index.php/journal/article/view/4345
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