Prepatellar Brucella melitensis bursitis: case report and literature review

Traboulsi, Rana; Uthman, Imad; Kanj, Souha S.

doi:10.1007/s10067-007-0565-6

Cited by 13 publications

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“…Previous reviewers have classified the olecranon bursa to be the most common site but our review of the recorded case revealed that prepatellar bursa is more common. This has been probably attributed to local trauma resulting from frequent kneeling among patients handling animals [5]. This patient might have also sustained repeated local trauma/pressure to the elbow as a result of the traditional use of cushion support at sheds by the Bedouin tribes of Arabia.…”

Section: Discussionmentioning

confidence: 99%

“…Bursitis can be the main manifestation of brucellosis. Fever and local signs of inflammation are absent in the majority of Brucella bursitis [5]. Most of Brucella bursitis patients have symptoms for long period ranging from few months to many years with the exception of few cases presented acutely.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of osteoarticular manifestations ranges between 10 and 80% with the majority of reports documenting it between 20 and 40 per cent [3]. Brucellosis presenting as bursitis only is rare as it is usually accompanied by other joint involvement and accounts for just 1–7% of bone and joint disease [4, 5]. Around 50 cases of Brucella bursitis involving different sites have been reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

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A Rare Form of Brucella Bursitis with Negative Serology: A Case Report and Literature Review

Almajid

2017

Case Reports in Infectious Diseases

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Brucellosis is still endemic in certain parts of the world including the Mediterranean, the Middle East, Latin America, and African regions. Osteoarticular manifestations are common presenting features. Brucellosis presenting as prepatellar bursitis has already been reported. We present a case of seronegative olecranon bursitis with positive blood and aspirate cultures. The patient improved remarkably by treatment with streptomycin and doxycycline with no evidence or relapse.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Rare Form of Brucella Bursitis with Negative Serology: A Case Report and Literature Review

Almajid

2017

Case Reports in Infectious Diseases

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“…Lübnan'dan bildirilen bir olguda bir yılı aşkın süredir sol dizde ağrısız şişlik dı-şında sistemik muayene bulgusu olmayan bir olgunun bursa sıvısından alınan örnekte Brucella spp. izole edilmiştir (18). Diğer bir makalede sinüs formasyonu ile birlikte suprapatellar bursitle seyreden bir kronik bruselloz olgusunda da bursit tek bulgu olup, klinik bulguların başlangıcından ancak yedi yıl sonra bursa sıvısından alınan örnekte Brucella bakterisi izole edilmesiyle tanı konulmuştur.…”

Section: İrdelemeunclassified

A Case of Brucellosis with Olecranon Bursitis, Spondylodiscitis and Epididymo-orchitis

Türker¹,

Örmen²,

Kaptan³

et al. 2012

Klimik Dergisi

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ÖzetBruselloz vücuttaki tüm organ ve sistemleri tutabilen sistemik bir infeksiyondur. En sık rastlanan osteoartiküler tutulum sakroiliit, spondilit ve periferik artrittir. Bursit ise nadir görülen bir osteoartiküler tutulum bulgusudur. Bu makalede brusellozun spondilodiskit, bursit ve epididimoorşit tutulumlarının gözlendiği bir olgu sunulmuştur. Klimik Dergisi 2012; 25(1): 47-9. Anahtar Sözcükler: Bruselloz, bursit, spondilodiskit, epididimoorşit. AbstractBrucellosis is a systemic infection in which any organ or system of the body can be involved. The most common osteoarticular involvements are sacroiliitis, spondylitis and peripheral arthritis. However, bursitis is a rarely observed osteoarticular manifestation of brucellosis. In this article, a case of brucellosis with spondylodiscitis, bursitis and epididymo-orchitis is presented. Klimik Dergisi 2012; 25(1): 47-9.Key Words: Brucellosis, bursitis, spondylodiscitis, epididymoorchitis. GirişBruselloz, Brucella bakterilerinin yol açtığı sık görü-len zoonotik bir hastalıktır. Hemen hemen tüm olgularda doğrudan ya da dolaylı olarak infekte hayvan veya ürün-leriyle temas söz konusudur (1,2). Hastalık dünyanın her bölgesinde görülebilmekle birlikte Akdeniz havzası ile Arap Yarımadası, Hindistan, Meksika, Orta ve Güney Amerika'da hiperendemiktir (3).Bruselloz, tüm sistemleri etkileyip farklı klinik tablolarla ortaya çıkabilmekte olup, tanı ve tedavisinde güçlükler yaşanmaktadır. Osteoartiküler sistem, gastrointestinal sistem, santral sinir sistemi ve genitoüriner sistem tutulumları başta gelmektedir. Osteoartiküler tutulum (sakroiliit, spondilit, periferik artrit, osteomyelit, bursit, tendinit) %10-85 oranıyla brusellozun en sık gö-rülen komplikasyonudur. Genitoüriner sistem tutulumu ise %2-10 oranında görülür. En sık izlenen genitoüriner komplikasyon akut epididimoorşittir (4,5).Bu makale, brusellozun nadir görülen bir komplikasyonu olan bursit ve buna eşlik eden spondilodiskit ve epididimoorşit komplikasyonlarının aynı olguda görül-mesi nedeniyle sunulmaya değer bulunmuştur. Olgu49 yaşında erkek hasta, ateş, üşüme, titreme ve bel ağrısı şikayetleriyle İnfeksiyon Hastalıkları Polikliniği'ne başvurdu. Brucella standard tüp aglütinasyon testinin 1/1280 titrede pozitif olarak saptanması üzerine ileri tetkik ve tedavi amacıyla İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği'ne yatırıldı.İki ay önce bel ağrısı nedeniyle hastanemiz Beyin Cerrahisi Polikliniği'ne başvurduğu, yapılan tetkikler sonucunda lomber disk hernisi tanısı aldığı, cerrahi operasyon planlanmadığı, semptomatik tedaviyle izleme alındığı; bir ay önce ise skrotal şişlik nedeniyle Üroloji Polikliniği'ne başvurduğu, yapılan skrotal ultrasonografi (USG)'de sağ epididimoorşit saptandığı ve oral siprofloksasin tedavisine kısmi cevap alındığı ve anamnezi derinleştirildiğinde taze peynir yeme öyküsünün olduğu öğrenildi.

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“…The only descriptive study on human brucellosis was conducted in 1997 on data reported to the epidemiological surveillance unit and showed no sex differences in occurrence, and a seasonal distribution related to the herds' birthing season [12]. Other studies by Lebanese researchers have provided clinical descriptions of brucellosis cases [13][14][15][16][17], while a genetic study highlighted the antimicrobial resistance of Brucella spp. isolates from cultured Lebanese dairy products [18].…”

Section: Introductionmentioning

confidence: 99%

Brucellosis outbreak in Chouf district of Lebanon in 2009: a case-control study

Al‐Shaar

Chaaya

Ghosn

et al. 2014

East Mediterr Health J

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A study was conducted to determine risk factors associated with brucellosis infection in an outbreak in Chouf district of Lebanon during summer 2009. Cases of brucellosis reported to the Ministry of Public Health were identified, and for each case 2 controls were matched by sex, age and residence. Sociodemographic data, exposure to animals and animal products, knowledge about brucellosis, symptoms and history of past brucellosis infections were collected. Consumption of raw cheese was a significant risk factor for contracting brucellosis (matched OR = 29.5), whereas wearing gloves when in contact with animals and animal products and self-preparing dairy products were protective factors (OR = 0.08 and 0.13 respectively). Low and inaccurate knowledge about brucellosis was prevalent among subjects, with a common misconception about human-human transmission. Ensuring animal vaccination, educating people on correct ways of milk pasteurization and handling meat products, and elevating food safety monitoring threshold are key elements in controlling brucellosis. RÉSUMÉ Une étude a été menée afin de déterminer les facteurs de risque associés à la brucellose au cours d'une flambée dans le district de Chouf (Liban) pendant l'été 2009. Des cas de brucellose notifiés au ministère de la Santé publique ont été identifiés, et pour chaque cas deux témoins ont été appariés pour l'âge, le sexe et le lieu de résidence. Les données sociodémographiques, les antécédents d'exposition aux animaux et aux produits destinés aux animaux, les connaissances sur la brucellose, les symptômes et les antécédents de brucellose ont été recueillis. La consommation de fromage cru était un facteur de risque important pour l'infection (OR apparié = 29,5) tandis que le port de gants lors des contacts avec des animaux et des produits destinés aux animaux ainsi que la préparation des produits laitiers par la personne elle-même étaient des facteurs protecteurs (OR = 0,08 et 0,13 respectivement). Des connaissances faibles et inexactes sur la brucellose étaient prévalentes chez les patients, et les idées fausses sur la transmission interhumaine étaient courantes. Assurer une vaccination animale, éduquer la population en ce qui concerne les bonnes méthodes de pasteurisation du lait et de manipulation des produits carnés, et relever les niveaux de suivi de la sécurité sanitaire des aliments sont des éléments clés de la lutte contre la brucellose.

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Prepatellar Brucella melitensis bursitis: case report and literature review

Cited by 13 publications

References 12 publications

A Rare Form of Brucella Bursitis with Negative Serology: A Case Report and Literature Review

A Rare Form of Brucella Bursitis with Negative Serology: A Case Report and Literature Review

A Case of Brucellosis with Olecranon Bursitis, Spondylodiscitis and Epididymo-orchitis

Brucellosis outbreak in Chouf district of Lebanon in 2009: a case-control study

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