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Brucellosis in children in Iraq
Annals of Tropical Paediatrics
|December 1, 1986
Insights
Brucellosis in children presents with fever, sweating, and chills, often involving enlarged liver/spleen and arthritis. Tetracycline effectively treats childhood brucellosis, with a combination therapy for relapses.
Area of Science:
- Pediatrics
- Infectious Diseases
- Bacteriology
Background:
- Brucellosis is a significant zoonotic infection affecting children globally.
- Clinical manifestations in pediatric brucellosis can be diverse, posing diagnostic challenges.
Purpose of the Study:
- To describe the clinical features of brucellosis in children.
- To evaluate the efficacy of tetracycline in treating childhood brucellosis.
- To assess the utility of combination therapy for relapsed cases.
Main Methods:
- A study of 50 children diagnosed with brucellosis.
- Diagnosis based on clinical presentation and serological agglutination tests.
- Treatment regimens included tetracycline alone or in combination with co-trimoxazole.
Main Results:
- Common symptoms included fever, sweating, and chills.
- Hepatosplenomegaly and arthritis were frequently observed.
- Tetracycline demonstrated effectiveness in managing childhood brucellosis.
- Seven patients with relapsed brucellosis achieved successful outcomes with combination therapy.
Conclusions:
- Brucellosis in children is characterized by specific clinical and physical findings.
- Tetracycline is a recommended treatment for pediatric brucellosis.
- Combination therapy offers a successful approach for managing relapsed cases of childhood brucellosis.
Abstract:
We studied 50 children with brucellosis. Diagnoses were made from clinical pictures and agglutination titres. Fevers, sweating and chills were common complaints. Hepatosplenomegaly and arthritis were usual findings. Tetracycline is an effective drug for management of childhood brucellosis. Seven patients with relapse were treated successfully with combination of tetracycline and co-trimoxazole.