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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Pulmonary infections due to brucellosis in childhood
Gülsüm İclal Bayhan1, Abdussamet Batur2, İbrahim Ece3
1Division of Pediatric Infectious Diseases, Dursun Odabas Medical Center, Faculty of Medicine, Yuzuncu Yil University, Van, Turkey.
Introduction:
Brucellosis is widely distributed zoonotic infection. Brucellosis is a multisystemic disease but pulmonary infection due to brucellosis is very rarely reported.
Materials And Methods:
We retrospectively evaluated our pediatric brucellosis cases between February 2014 and December 2015. The brucellosis patients with and without pulmonary infection were compared with each other.
Result:
We detected pulmonary infection in 18 of the 98 brucellosis patients. There was no statistical significant difference between the brucellosis patients with and without a pulmonary infection as regards age, gender, and animal husbandry history. The laboratory findings including the Brucella Coombs agglutination titers were also similar. The most common chest X-ray findings were interstitial infiltration and hilar lymphadenopathy. All of our cases with pulmonary infection recovered with the usual anti-brucella treatment.
Conclusions:
Brucellosis may cause a pulmonary infection more often than thought. The prognosis of respiratory brucellosis is good and the classic treatment regimen is appropriate.
Insights
Pulmonary brucellosis, a rare complication of this zoonotic infection, was found in 18% of pediatric cases. Respiratory brucellosis shows a good prognosis with standard treatment.
Area of Science:
- Infectious Diseases
- Pulmonology
- Zoonotic Infections
Background:
- Brucellosis is a widespread zoonotic infection affecting multiple systems.
- Pulmonary involvement in brucellosis is infrequently reported.
Purpose of the Study:
- To evaluate the incidence and characteristics of pulmonary infection in pediatric brucellosis cases.
- To compare patients with and without pulmonary involvement.
Main Methods:
- Retrospective analysis of pediatric brucellosis cases from February 2014 to December 2015.
- Comparison of demographic, clinical, and laboratory data between groups.
Main Results:
- Pulmonary infection was detected in 18 of 98 (18.4%) brucellosis patients.
- No significant differences in age, gender, animal husbandry history, or Brucella Coombs titers were observed between groups.
- Common chest X-ray findings included interstitial infiltration and hilar lymphadenopathy.
Conclusions:
- Brucellosis can manifest with pulmonary involvement more frequently than previously recognized.
- Respiratory brucellosis has a favorable prognosis.
- Standard anti-brucellosis treatment is effective for pulmonary manifestations.
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