Brucella arthritis—an update

Pandit, D

doi:10.1016/s0973-3698(11)60036-8

Cited by 7 publications

(12 citation statements)

References 36 publications

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“…The sacroiliac (about 80%) and spinal joints (about 50%) are the two major affected joints [1]. On the other hand, other osteoarticular complications, such as are bursitis [2], peripheral arthritis, osteomyelitis, and tenosynovitis, are rare [3]. Brucella-induced arthritis can be observed in more than 50% of patients [3], with the lower limb joints being the most commonly involved ones [7].…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, other osteoarticular complications, such as are bursitis [2], peripheral arthritis, osteomyelitis, and tenosynovitis, are rare [3]. Brucella-induced arthritis can be observed in more than 50% of patients [3], with the lower limb joints being the most commonly involved ones [7]. Nevertheless, joint destruction has rarely been reported.…”

Section: Discussionmentioning

confidence: 99%

“…The most common complication of brucellosis is osteoarticular system involvement, with a 10-80% prevalence. However, this infection rarely affects the hip [1,3]. The three most common forms of osteoarticular involvement of this pathogen are spondylitis, sacroiliitis, and peripheral arthritis, including monoarthritis, oligoarthritis ([?]…”

Section: Introductionmentioning

confidence: 99%

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Brucellosis-induced avascular necrosis of the hip: a rare case report

Afshar

Babazadeh

Ebrahimpour

et al. 2021

Preprint

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Brucellosis-induced avascular necrosis of the hip: a rare case report

Afshar

Babazadeh

Ebrahimpour

et al. 2021

Preprint

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“…However, it is not di cult to diagnose knee joint arthritis, which is also common. However, it is challenging to diagnosis arthritis of other joints such as the hip in which a delayed diagnosis leads to necrosis of the femoral head and dislocation (7).…”

Section: Introductionmentioning

confidence: 99%

Brucellar arthritis and sacroiliitis: an eight-year retrospective comparative analysis of demographic, clinical and paracilinical features

Sayad

Bozorgomid

Mohammadi

et al. 2022

Preprint

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Background Brucellosis is a common global zoonotic disease with a wide range of complex and non-specific clinical manifestations that may lead to misdiagnosis and delayed treatment. Osteoarticular involvement is the most common complaint in brucellosis. Methods This retrospective descriptive study was performed on patients presenting to a teaching hospital in Kermanshah, Iran with a diagnosis of brucellosis during 2011–2019. The demographic and clinical characteristics, complications, laboratory findings and treatment were recorded during the study period. Then, the difference in the collected data was investigated between brucellosis patients with and without arthritis or sacroiliitis. Results Of 425 patients, 130 (30.58%) had osteoarticular involvement. Sacroiliitis (13.6%) followed by spondylitis (12.9%) and peripheral arthritis (9.6%) was the most common type of complication. 15% of patients with Sacroillitis had spondylitis, concomitantly. There were no significant demographic differences between patients with and without brucellar arthritis or sacroiliitis. The patients with brucellar arthritis had a significantly higher frequency of arthralgia. Arthralgia, neck pain, back pain, positive Faber test, radiculopathy and vertebral tenderness were significantly more frequent in patients with Sacroiliitis; while fever and headache were significantly more common in patients without sacroiliitis. The median wright and 2ME titers were higher in brucellosis patients with arthritis or sacroiliitis versus patients without arthritis or sacroiliitis, but the difference was not significant. Synovial fluid was analyzed in 20 cases. The mean white cell count, glucose and protein level were 3461 ± 2.70, 58.54 ± 31.43 mg/dLit and 8.6 ± 11.85 g/dLit, respectively. Neutrophil cells were predominant in 80% of samples. patients with arthritis had a higher median platelet count and patients with sacroiliitis had higher median levels of AST and ALP significantly. Conclusions Arthritis and sacroiliitis had a frequency of 9.64% and 13.6%, respectively. Any complaints of low back pain and radiculopathy as well as the presence of spondylitis in patients should raise suspicion of sacroiliitis. High levels of ALP and a high platelet count may be associated with brucellar sacroiliitis and arthritis, respectively. The use of paraclinical methods such as MRI and bone scan seems necessary for diagnosis of sacroiliitis.

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“…Brucellosis is one of the most common zoonotic diseases worldwide, especially in Asia and Middle Eastern countries such as Iran [1,2,3], which is transmitted to humans through the consumption of unpasteurized dairy products and direct contact with infected animal tissues [4,5,6]. It has been demonstrated that brucellosis can involve any part of the body including the musculoskeletal system, genital organs, gastrointestinal system, nervous system, respiratory system, circulatory system, skin, heart, liver, spleen, bone, kidney, brain, epididymis, ovary, and gallbladder [7,8,9] and it causes a systemic infection from asymptomatic disease to fatal illness [10,11] and it can mimic other infectious and non-infectious diseases [4,12].…”

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confidence: 99%