Öz
Brucellosis is a zoonosis transmitted from animals to humans and endemically seen in developing countries. It is seen among veterinarians, laboratory workers and ones who deal with animal husbandry, butchery, have history of eating fresh cheese. In this article, epidemiological, clinical and laboratory findings of brucellosis cases developed in a family dealing with animal husbandry were evaluated. In all cases; there were fever, elevated erythrocyte sedimentation rate, increased C-reactive protein levels, and arthralgia. Duration of the complaints were ranging between 7 to 21 days. One of the cases had spondylodiscitis at level of L3-L4. Four of the cases were treated with rifampicin and doxycycline, one cese with spondylodiscitis was treated with the co-trimoxazole and rifampicine. Complete cure was obtained with medical treatment in all patients, and relapse wasn’t observed in any of them. These cases were presented in order to emphasize that brucellosis might be transmitted from bacteria-carrying animals to all caregivers dealing with them
Anahtar Kelimeler
Kaynakça
- Shimol BS, Dukhan L, Belmaker I, Bardenstein S, Sibirsky D, Barrett C. Human Brusellosis Outbreak Acquired through Camel Milk Ingestion in Southern Israel. IMAJ vol 14 August 2012: 475-8.
- Demirdal T, Demirtürk N, Demirbaş M. Brusella Orşiti: Aynı aileden iki olgu sunumu. ANKEM Derg 2004; 18: 117-9.
- Aktuğ Demir N, Ural O. Komplike Olmayan Akut Brusellozlu 83 olgunun İrdelenmesi. Flora 2010; 15: 132-8.
- Zoonotik hastalıklar hizmet içi eğitim modülü. Erişim tarihi: 23 Temmuz 2013 http://sbu.saglik.gov.tr/Ekutuphane/kitaplar/Zoonotik%20Hastaliklar%20Katilim ci%20Kitabi.pdf
- Biten Güven G, Güven T, Güney T, Seyrek A. Elazığ Bölgesi’nde riskli meslek gruplarında bruselloz seroprevalansı. Flora 2012; 17: 62-7.
- Gonen I, Sozen H, Kaya O, Unal O, Guloglu G, Akcam FZ. Brusellosis: Evaluation of 201 cases in an endemic area of mediterranean Basin. Acta Medica Mediterranean 2014, 30: 121.
- Demiroğlu Z, Turunç T, Alışkan H, Çolakoğlu Ş, Arslan H. Bruselloz: 151 Olgunun Klinik, Laboratuvar ve Epidemiyolojik Özelliklerinin Retrospektif Değerlendirilmesi. Mikrobiyol Bül 2007; 41: 517-27.
- Aygen B, Doğanay M, Sümerkan B, Yıldız O, Kayabaş U. Clinical manisfestations, complications and treatment of brusellosis: A retrospective evaluation of 480 patients. Medecine et Maladies Infectieuses 2002; 32: 485-93.
- Colmenero JD, Reguera JM, Martos F. Complications associated with Brucella melitensis infection; a study of 530 cases. Medicine (Baltimore) 1996; 74: 195- 211.
- Taşova Y, Saltoğlu N, Şahin G, Aksu HS. Osteoarthricular involvement of brucellosis in Turkey. Clin Rheumatol 1999; 18: 214-9.
- Gür A, Geyik MF, Dikici B. Complications of brucellosis in different age groups: A study of 283 cases in southern Anatolia of Turkey. Yonsei Medical J 2003; 44: 33-44.
- Demirdağ K, Özden M, Kalkan A, Çelik I, Kılıç SS: Bruselloz; 72 olgunun incelenmesi. Flora 2005; 10: 185-90.
- Mantur BG, Amarnath SK, Shinde RS. Review of Clinical and laboratory features of human bruellosis. Indian Journal of Medical Microbiology 2007; 25: 188-202.
- Skalksy K, Yahav D, Bishara J, Pitlik S, Leibovici L, Paul M. Treatment of human brucellosis: Systematic review and meta-analysisnof randomised controllend trials. BMJ 2008; 336: 701-4.
Öz
Özet
Bruselloz hayvanlardan insanlara bulaşan ve gelişmekte olan ülkelerde endemik olarak görülen bir zoonozdur. Hayvancılıkla uğraşan kişilerde, kasaplarda, veterinerlerde, taze peynir yeme öyküsü olanlarda ve laboratuvar çalışanlarında görülmektedir. Hayvancılıkla uğraşan bir ailede gelişen bruselloz olgularının epidemiyolojik, klinik ve laboratuvar bulguları bu makalede incelendi. Tüm olgularda ateş, sedimentasyon yüksekliği, C-reaktif protein yüksekliği ve artralji mevcut idi. Hastaların yakınmalarının süresi 7-21 gün arasında değişmekteydi. Bir hastada L3-L4 düzeyinde spondilodiskit mevcut idi. Dört olgu rifampisin ve doksisiklin tedavisi ile iyileşti, olgulardan birisi (spondilodiskit) ise kotrimaksazol ve rifampisin ile tedavi edildi. Tüm olgularda medikal tedavi ile tam iyileşme sağlandı ve relaps izlenmedi. Bu olgular brusellozun, hastalık taşıyan hayvanlardan, bu hayvanlara bakım veren kişilerin tümüne bulaşabileceğini vurgulamak amacıyla sunulmuştur.
Anahtar sözcükler: Bruselloz, aile bireyleri, bulaş
Abstract
Brucellosis is a zoonosis transmitted from animals to humans and endemically seen in developing countries. It is seen among veterinarians, laboratory workers and ones who deal with animal husbandry, butchery, have history of eating fresh cheese. In this article, epidemiological, clinical and laboratory findings of brucellosis cases developed in a family dealing with animal husbandry were evaluated. In all cases; there were fever, elevated erythrocyte sedimentation rate, increased C-reactive protein levels, and arthralgia. Duration of the complaints were ranging between 7 to 21 days. One of the cases had spondylodiscitis at level of L3-L4. Four of the cases were treated with rifampicin and doxycycline, one cese with spondylodiscitis was treated with the co-trimoxazole and rifampicine. Complete cure was obtained with medical treatment in all patients, and relapse wasn’t observed in any of them. These cases were presented in order to emphasize that brucellosis might be transmitted from bacteria-carrying animals to all caregivers dealing with them.
Keywords: Brucellosis, family members, transmission
Anahtar Kelimeler
Kaynakça
- Shimol BS, Dukhan L, Belmaker I, Bardenstein S, Sibirsky D, Barrett C. Human Brusellosis Outbreak Acquired through Camel Milk Ingestion in Southern Israel. IMAJ vol 14 August 2012: 475-8.
- Demirdal T, Demirtürk N, Demirbaş M. Brusella Orşiti: Aynı aileden iki olgu sunumu. ANKEM Derg 2004; 18: 117-9.
- Aktuğ Demir N, Ural O. Komplike Olmayan Akut Brusellozlu 83 olgunun İrdelenmesi. Flora 2010; 15: 132-8.
- Zoonotik hastalıklar hizmet içi eğitim modülü. Erişim tarihi: 23 Temmuz 2013 http://sbu.saglik.gov.tr/Ekutuphane/kitaplar/Zoonotik%20Hastaliklar%20Katilim ci%20Kitabi.pdf
- Biten Güven G, Güven T, Güney T, Seyrek A. Elazığ Bölgesi’nde riskli meslek gruplarında bruselloz seroprevalansı. Flora 2012; 17: 62-7.
- Gonen I, Sozen H, Kaya O, Unal O, Guloglu G, Akcam FZ. Brusellosis: Evaluation of 201 cases in an endemic area of mediterranean Basin. Acta Medica Mediterranean 2014, 30: 121.
- Demiroğlu Z, Turunç T, Alışkan H, Çolakoğlu Ş, Arslan H. Bruselloz: 151 Olgunun Klinik, Laboratuvar ve Epidemiyolojik Özelliklerinin Retrospektif Değerlendirilmesi. Mikrobiyol Bül 2007; 41: 517-27.
- Aygen B, Doğanay M, Sümerkan B, Yıldız O, Kayabaş U. Clinical manisfestations, complications and treatment of brusellosis: A retrospective evaluation of 480 patients. Medecine et Maladies Infectieuses 2002; 32: 485-93.
- Colmenero JD, Reguera JM, Martos F. Complications associated with Brucella melitensis infection; a study of 530 cases. Medicine (Baltimore) 1996; 74: 195- 211.
- Taşova Y, Saltoğlu N, Şahin G, Aksu HS. Osteoarthricular involvement of brucellosis in Turkey. Clin Rheumatol 1999; 18: 214-9.
- Gür A, Geyik MF, Dikici B. Complications of brucellosis in different age groups: A study of 283 cases in southern Anatolia of Turkey. Yonsei Medical J 2003; 44: 33-44.
- Demirdağ K, Özden M, Kalkan A, Çelik I, Kılıç SS: Bruselloz; 72 olgunun incelenmesi. Flora 2005; 10: 185-90.
- Mantur BG, Amarnath SK, Shinde RS. Review of Clinical and laboratory features of human bruellosis. Indian Journal of Medical Microbiology 2007; 25: 188-202.
- Skalksy K, Yahav D, Bishara J, Pitlik S, Leibovici L, Paul M. Treatment of human brucellosis: Systematic review and meta-analysisnof randomised controllend trials. BMJ 2008; 336: 701-4.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 5 Mayıs 2014 |
| Yayımlandığı Sayı | Yıl 2014Cilt: 36 Sayı: 4 |