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      A Case of Brucellosis with Recurrent Attacks of Vasculitis

      case-report

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          Abstract

          Brucellosis is a zoonosis that affects several organs or systems. Skin involvement is nonspecific and it is reported to range between 0,4 and 17% of the patients with brucellosis. Here, we defined a 36-year-old female patient presented to our clinic with a clinical picture of recurrent attacks of vasculitis due to brucellosis for the first time. Skin involvement and vasculitic lesions as a finding of skin involvement are nonspecific in brucellosis. Therefore, in the regions like Turkey where brucellosis is endemic, brucellosis should be kept in mind necessarily in the differential diagnosis of vasculitis.

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          Clinical manifestations and complications in 1028 cases of brucellosis: a retrospective evaluation and review of the literature.

          Turan Buzgan, Mustafa Kasım Karahocagil, Hasan Irmak … (2010)
          Brucellosis is the most prevalent bacterial zoonosis worldwide. In this study, we aimed to compare our 1028 brucellosis cases with other big series in the literature in view of epidemiological, clinical, and laboratory findings and therapeutic features. A total of 1028 brucellosis cases admitted to the Department of Infectious Diseases and Clinical Microbiology over a 10-year period were included in the study. A retrospective analysis was undertaken and patient files were reviewed for history, clinical and laboratory findings, and therapeutic features, as well as complications. Of the 1028 patients, 539 (52.4%) were female and 489 (47.6%) were male. The mean age of patients was 33.7+/-16.34 years and 69.6% of cases were aged 13-44 years. Four hundred and thirty-five cases (42.3%) had a history of raising livestock and 55.2% of the cases were found to have no occupational risk for brucellosis. Six hundred and fifty-four of the cases (63.6%) had a history of raw milk and dairy products consumption. The most frequently seen symptoms were arthralgia (73.7%) and fever (72.2%), while the most common clinical findings were fever (28.8%) and hepatomegaly (20.6%). The most frequent laboratory finding was a high C-reactive protein level (58.4%). The standard tube agglutination (STA) test+Coombs STA test was positive in 1016 cases (98.8%). Focal involvement was present in 371 (36.1%) cases. The most frequent involvement was osteoarticular involvement with 260 cases (25.3%). The overall relapse rate for patients with brucellosis was 4.7%. The highest relapse rate, 8.5%, was observed in the group of patients with osteoarticular involvement. Regimens including doxycycline and streptomycin with or without rifampin appeared more effective than other regimens in osteoarticular involvement. In humans, brucellosis may lead to serious morbidity, and it continues to be a major health problem in Turkey. There is no recommended treatment protocol for complicated brucellosis. Large multicenter studies are needed to determine the most appropriate treatment choices and durations in complicated brucellosis. Copyright 2009 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
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            Cutaneous findings encountered in brucellosis and review of the literature.

            H Akdeniz, I Delice, T Buzgan … (2001)
            Human brucellosis is an infectious disease produced by Brucella species: small, coccoid or rod-like, aerobic, Gram-negative bacteria. The infection is common in developing countries, and can also affect the skin. Its prevalence is high in our region of Turkey, where stockbreeding is one of the main economic sources, compared with the industrially developed areas of Turkey, and dermatologic complaints due to brucellosis are fairly common. One hundred and three patients with serologically and clinically confirmed brucellosis were studied in order to investigate the prevalence of cutaneous findings and their variability in brucellosis. Fifty-two (50.49%) were males and 51 (49.51%) were females with an age range of 4-70 years (mean, 30.45 +/- 15.08 years). Of these patients, 14 (13.59%) had cutaneous findings probably related to brucellosis. These findings were more frequent in females (11 cases) than males, and most of the females (eight cases) were housewives; three were students. Urticaria-like papules and plaques were the most common findings; they were seen in six (35.3%) patients. One case had livedo reticularis and another palmar erythema, which have not been reported previously. No relationship was observed between the serologic values and the cutaneous findings. Cutaneous findings in our cases were more prevalent than in other reported studies. It is important to emphasize that cutaneous lesions are not specific to brucellosis and may be seen in a variety of other dermatologic diseases caused by many agents; therefore, these agents should be kept in mind in the differential diagnosis.
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              Brucella species

              EJ Young, E Young, M Douglas (1995)
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                Author and article information

                Journal
                Journal ID (nlm-ta): Case Rep Infect Dis
                Journal ID (iso-abbrev): Case Rep Infect Dis
                Journal ID (publisher-id): CRIID
                Title: Case Reports in Infectious Diseases
                Publisher: Hindawi Publishing Corporation
                ISSN (Print): 2090-6625
                ISSN (Electronic): 2090-6633
                Publication date (Print): 2016
                Publication date (Electronic): 3 March 2016
                Volume: 2016
                Electronic Location Identifier: 5740589
                Affiliations
                1Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Dumlupinar University, 43100 Kütahya, Turkey
                2Department of Dermatology, Faculty of Medicine, Dumlupinar University, 43100 Kütahya, Turkey
                3Department of Infectious Diseases and Clinical Microbiology, Evliya Celebi Training and Research Hospital, 43100 Kütahya, Turkey
                4Department of Pathology, Faculty of Medicine, Dumlupinar University, 43100 Kütahya, Turkey
                Author notes

                Academic Editor: Sinésio Talhari

                Article
                DOI: 10.1155/2016/5740589
                PMC ID: 4794566
                PubMed ID: 27042369
                SO-VID: 8ab70a07-73a1-4673-a039-1754058666a8
                Copyright © Copyright © 2016 Pınar Korkmaz et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 3 January 2016
                Date accepted : 11 February 2016
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Infectious disease & Microbiology
                Data availability:
                ScienceOpen disciplines: Infectious disease & Microbiology

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