Osteoarticular involvement of brucellosis in pediatric patients: clinical and laboratory characteristics
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....
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Hacettepe University Institute of Child Health
2020-04-01
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| Series: | The Turkish Journal of Pediatrics |
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| Online Access: | https://turkjpediatr.org/article/view/433 |
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| author | Dilek Yılmaz Çiftdoğan Selda Aslan |
| author_facet | Dilek Yılmaz Çiftdoğan Selda Aslan |
| author_sort | Dilek Yılmaz Çiftdoğan |
| collection | DOAJ |
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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.
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| format | Article |
| id | doaj-art-e54d5768e07643a4a5d23c689deb9b05 |
| institution | OA Journals |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2020-04-01 |
| publisher | Hacettepe University Institute of Child Health |
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| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-e54d5768e07643a4a5d23c689deb9b052025-08-20T02:01:47ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212020-04-0162210.24953/turkjped.2020.02.005Osteoarticular involvement of brucellosis in pediatric patients: clinical and laboratory characteristicsDilek Yılmaz ÇiftdoğanSelda Aslan0Department of Infectious Diseases, Gaziantep Children State Hospital, Gaziantep, Turkey. 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. https://turkjpediatr.org/article/view/433Brucellosisosteoarticularpediatric |
| spellingShingle | Dilek Yılmaz Çiftdoğan Selda Aslan Osteoarticular involvement of brucellosis in pediatric patients: clinical and laboratory characteristics The Turkish Journal of Pediatrics Brucellosis osteoarticular pediatric |
| title | Osteoarticular involvement of brucellosis in pediatric patients: clinical and laboratory characteristics |
| title_full | Osteoarticular involvement of brucellosis in pediatric patients: clinical and laboratory characteristics |
| title_fullStr | Osteoarticular involvement of brucellosis in pediatric patients: clinical and laboratory characteristics |
| title_full_unstemmed | Osteoarticular involvement of brucellosis in pediatric patients: clinical and laboratory characteristics |
| title_short | Osteoarticular involvement of brucellosis in pediatric patients: clinical and laboratory characteristics |
| title_sort | osteoarticular involvement of brucellosis in pediatric patients clinical and laboratory characteristics |
| topic | Brucellosis osteoarticular pediatric |
| url | https://turkjpediatr.org/article/view/433 |
| work_keys_str_mv | AT dilekyılmazciftdogan osteoarticularinvolvementofbrucellosisinpediatricpatientsclinicalandlaboratorycharacteristics AT seldaaslan osteoarticularinvolvementofbrucellosisinpediatricpatientsclinicalandlaboratorycharacteristics |