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Brucella arthritis.

A P Andonopoulos, G Asimakopoulos, E Anastasiou

    Scandinavian Journal of Rheumatology
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Brucellosis can cause peripheral arthritis, often presenting as true septic arthritis. Characteristic synovial fluid findings aid in early diagnosis and management of this joint infection in endemic regions.

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    Area of Science:

    • Infectious Diseases
    • Rheumatology
    • Microbiology

    Background:

    • Brucellosis is an endemic zoonotic disease in Southwestern Greece.
    • Peripheral arthritis is a known complication of brucellosis.

    Purpose of the Study:

    • To investigate the characteristics of peripheral arthritis in brucellosis patients.
    • To identify diagnostic features of brucella arthritis in synovial fluid.

    Main Methods:

    • Prospective study of 40 brucellosis patients over 4 years.
    • Synovial fluid aspiration and analysis in patients with arthritis.
    • Cultures of synovial fluid for Brucella.

    Main Results:

    • Nine cases (22.5%) of peripheral arthritis were observed.

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  • Synovial fluid showed elevated white cell counts (4,460–8,800/mm³) with lymphocytic predominance.
  • Brucella was cultured from synovial fluid in 3 of 5 aspirated cases.
  • Conclusions:

    • Brucella arthritis is primarily a true septic arthritis.
    • Distinct synovial fluid features aid in differentiating brucella arthritis from other septic arthritides.
    • Early diagnosis and management are crucial in endemic areas.