Subklinische Sakroiliitis bei Brucellose

Gheita, Tamer A.; Sayed, Sinar; Azkalany, Ghada S.; Fishawy, Hussein S. El; Aboul-Ezz, Mohamed A.; Shaaban, Mohamed R.; Bassyouni, Rasha H.

doi:10.1007/s00393-014-1465-1

Cited by 11 publications

(9 citation statements)

References 30 publications

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“…Its clinical symptoms (septic or reactive forms) mimic acute low back pain or lumbar disc herniation and the back pain may radiate into the tight, however, chronic sacroiliitis is associated with chronic back pain[54,55]. Although low back pain is the important symptom, 24% of the patients were asymptomatic in a study[56]. It is reported that the rate of sacroiliitis is high in those patients who are infected with B. melitensis spp.…”

Section: Osteoarticular Manifestationsmentioning

confidence: 99%

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Osteoarticular manifestations of human brucellosis: A review

Esmaeilnejad-Ganji

2019

WJO

121

109

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Brucellosis is a common global zoonotic disease, which is responsible for a range of clinical manifestations. Fever, sweating and musculoskeletal pains are observed in most patients. The most frequent complication of brucellosis is osteoarticular involvement, with 10% to 85% of patients affected. The sacroiliac (up to 80%) and spinal joints (up to 54%) are the most common affected sites. Spondylitis and spondylodiscitis are the most frequent complications of brucellar spinal involvement. Peripheral arthritis, osteomyelitis, discitis, bursitis and tenosynovitis are other osteoarticular manifestations, but with a lower prevalence. Spinal brucellosis has two forms: focal and diffuse. Epidural abscess is a rare complication of spinal brucellosis but can lead to permanent neurological deficits or even death if not treated promptly. Spondylodiscitis is the most severe form of osteoarticular involvement by brucellosis, and can have single- or multi-focal involvement. Early and appropriate diagnosis and treatment of the disease is important in order to have a successful management of the patients with osteoarticular brucellosis. Brucellosis should be considered as a differential diagnosis for sciatic and back pain, especially in endemic regions. Patients with septic arthritis living in endemic areas also need to be evaluated in terms of brucellosis. Physical examination, laboratory tests and imaging techniques are needed to diagnose the disease. Radiography, computed tomography, magnetic resonance imaging (MRI) and bone scintigraphy are imaging techniques for the diagnosis of osteoarticular brucellosis. MRI is helpful to differentiate between pyogenic spondylitis and brucellar spondylitis. Drug medications (antibiotics) and surgery are the only two options for the treatment and cure of osteoarticular brucellosis.

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Section: Osteoarticular Manifestationsmentioning

confidence: 99%

“…[15,57]. Both of unilateral and bilateral forms of brucellar sacroiliitis have been reported[56,58]. Sacroiliitis was also simultaneously seen with dactylitis, olecranon bursitis, humerus osteomyelitis and iliac muscle abscess, and with other systemic diseases, like endocarditis, pyelonephritis and thyroiditis[59-62].…”

Section: Osteoarticular Manifestationsmentioning

confidence: 99%

Osteoarticular manifestations of human brucellosis: A review

Esmaeilnejad-Ganji

2019

WJO

121

109

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“…Several clinical reports suggest that individuals with Brucella infection commonly present with osteoarticular complication. Moreover, the prevalence of OAB is variably reported (2%-77%), depending on the virulence of Brucella species involved, age group and sex of the individuals affected, diagnostic methods, and endemicity of the reporting region [21,36,45,48,59,60,67,70,71].…”

Section: Introductionmentioning

confidence: 99%

A systematic review and meta-analysis of the prevalence of osteoarticular brucellosis

et al. 2019

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BackgroundInfection of bones and joints remains one of the most commonly described complications of brucellosis in humans and is predominantly reported in all ages and sexes in high-risk regions, such as the Middle East, Asia, South and Central America, and Africa. We aimed to systematically review the literature and perform a meta-analysis to estimate the global prevalence of osteoarticular brucellosis (OAB).MethodologyMajor bibliographic databases were searched using keywords and suitable combinations. All studies reporting the incidence and clinical manifestations of osteoarticular brucellosis in humans, and demonstrated by two or more diagnostic methods (bacteriological, molecular, serological, and/or radiographic) were included. Random model was used, and statistical significance was set at 0.05%Principal findingsA total of 56 studies met the inclusion criteria and were included in the systematic review and meta-analysis. There was an evidence of geographical variation in the prevalence of osteoarticular disease with estimates ranging from 27% in low-risk regions to 36% in high-risk regions. However, the difference was not significant. Thus, brucellosis patients have at least a 27% chance of developing osteoarticular disease.ConclusionsThe prevalence of OAB is not dependent on the endemicity of brucellosis in a particular region. Hence, further research should investigate the potential mechanisms of OAB, as well as the influence of age, gender, and other socioeconomic factor variations in its global prevalence, as this may provide insight into associated exposure risks and management of the disease.

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“…Most of the patients in our study had bilateral sacroiliitis. Gheita et al reported bilateral sacroiliitis in only 20% of the patients ( 21 ). Their study was done on asymptomatic patients with brucellosis.…”

Section: Discussionmentioning

confidence: 99%

“…Based on the causes of sacroiliitis, its treatment strategies and its prognosis are different. Common etiologies include sacroiliac arthritis ( 2 – 5 ), ankylosing spondylitis ( 6 – 8 ), osteitis condensans ilii ( 9 , 10 ), gout ( 11 , 12 ), osteoarthritis, tumors ( 13 ), septic arthritis ( 14 – 20 ), and brucellosis ( 21 – 26 ). Sacroiliitis is frequently a neglected diagnosis among clinicians especially when history taking and physical examination is done carelessly.…”

Section: Introductionmentioning

confidence: 99%

Frequency of sacroiliitis among patients with low back pain

Owlia¹,

Danesh-Ardakani²

2016

Electron physician

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IntroductionSacroiliitis is one of the important symptoms in patients attending infectious diseases and rheumatology clinics. Some patients with sacroiliitis are asymptomatic, and some have unspecific symptoms. The aim of this study was to determine the frequency of sacroiliitis causes among patients attending Shahid Sadoughi’s infectious disease and rheumatology clinics.MethodsIn this study, we evaluated patients attending Shahid Sadoughi rheumatology and infectious diseases clinic in 2014. Patients who had positive findings in favor of sacroiliitis were evaluated by history, physical exam, laboratory tests, and imaging. The patients were divided into infectious, inflammatory non-infectious, and degenerative causes. The data were analyzed by IBM SPSS version 20 using the independent samples t-test, ANOVA, the chi-squared test, and the Fisher’s exact test.ResultsWe studied 136 patients. Among them 64 (47.1%) were male, and 72 (52.9%) were female. The mean age of the participants was 34.28 ± 10.36 years. Among the patients, 12 (8.8%) had infectious causes, 120 (88.2%) had inflammatory non-infectious causes, and four (2.9%) had degenerative causes.ConclusionBased on our results, inflammatory non-infectious causes are at the top of the list of sacroiliitis causes, but we should always consider infectious causes, including brucellosis.

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Subklinische Sakroiliitis bei Brucellose

Cited by 11 publications

References 30 publications

Osteoarticular manifestations of human brucellosis: A review

Osteoarticular manifestations of human brucellosis: A review

A systematic review and meta-analysis of the prevalence of osteoarticular brucellosis

Frequency of sacroiliitis among patients with low back pain

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