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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Different Clinical Presentations of Brucellosis
Mohammad Reza Hasanjani Roushan1, Soheil Ebrahimpour1, Zahra Moulana1
1Infectious Diseases and Tropical Medicine Research Center, Babol University of Medical Sciences, Babol, IR Iran.
Brucellosis, a zoonotic disease, commonly presents with acute symptoms like joint pain and fever. Early diagnosis is crucial due to diverse clinical presentations and potential complications such as arthritis.
Area of Science:
- Infectious Diseases
- Zoonotic Infections
- Clinical Medicine
Background:
- Brucellosis is a significant multi-organ zoonotic infectious disease.
- Human brucellosis manifests in acute, sub-acute, and chronic clinical forms.
Purpose of the Study:
- To retrospectively analyze clinical characteristics and complications of human brucellosis in Iran.
- To understand the varied clinical presentations of brucellosis.
Main Methods:
- Retrospective analysis of 957 patients over two decades.
- Patients categorized into acute (0-2 months), sub-acute (3-12 months), and chronic (>1 year) groups.
- Data collected via questionnaires from infectious disease clinic patients.
Main Results:
- The majority of patients (73.8%) presented with acute brucellosis.
- Common symptoms included arthralgia (71%), sweating (66.7%), fever (57.2%), and backache (39.3%).
- Arthritis was the most frequent complication, observed in 13.2% of cases.
Conclusions:
- Brucellosis exhibits diverse clinical manifestations, posing diagnostic challenges.
- Differential diagnosis should consider brucellosis due to its varied presentations.
- Further investigation into identifying undiagnosed complications is warranted.
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