El bileğinin brusella septik artriti

Bruselloz, dünyanın birçok yerinde endemik olarak görülen, farklı klinik bulgularla ortaya çıkan, zoonotik bir hastalıktır. Bruselloz sistemik tutulumunun yanı sıra kas iskelet sistemini de olumsuz yönde etkileyerek ciddi komplikasyonlara yol açabilmektedir. Bu çalışmada elli dört yaşındaki bir erkek olgunun el bileğinde ortaya çıkan septik artritin sunumu yapılarak brusellozun endemik olduğu bölgelerde septik artrit etiyolojisi araştırılırken, brusellozun da bir komplikasyon olarak karşımıza çıkabileceğini ve yetersiz tedavisinin ciddi morbiditeye yol açabileceğini vurgulamaktır.

Brucella septic arthritis of the wrist

Brucella is a zoonotic disease which is endemic in many parts of the world and presents with different clinic findings. The Brucella disease may lead to serious complications by influencing the skeletal muscle system negatively, as well as its systemic involvement. In this study, by presenting a septic arthritis which appeared on the carpus of a 54-year old man, we investigated the etiology of septic arthritis in regions where brucellosis was endemic and emphasized that brucellosis may appear as a complication and insufficient therapy would result in serious morbidity.

___

  • 1) Tasova Y, Saltoglu N, Sahin G, Aksu HSZ. Osteoarticular involvement of brucellosis in Turkey. Clin Rheumatol 1999;18(3):214-39.
  • 2) Geyik MF, Gur A, Nas K, Cevik R, Sarac J, Dikici B, Ayaz C. Musculoskeletal involvement of brucellosis in different age groups: A study of 195 cases. Swiss Med Wkly 2002;132(7-8):98-105.
  • 3) Gur A, Geyik MF, Dikici B, Nas K, Cevik R, Sarac J, Hosoglu S. Complications of brucellosis in different age groups: A study of 283 cases in southeastern Anatolia of Turkey. Yonsei Med J 2003;44(1):33-44.
  • 4) Madkour MM, Sharif HS, Abed MY, Al-Fayez MA. Osteoarticular brucellosis: results of bone scintigraphy in 140 patients. Am J Roentgenol 1988;150(5):1101-5.
  • 5) Mousa AR, Muhtaseb SA, Almudallal DS, Khodeir SM, Marafie AA. Osteoarticular complications of brucellosis: a study of 169 cases. Rev Infect Dis 1987;9(3):531-43.
  • 6) Turgut M, Cullu E, Sendur OF, Gurer G. Brucellar spine infection-four case reports. Neurol Med Chir 2004;44(10):562-7.
  • 7) Khateeb MI, Araj GF, Majeed SA, Lulu AR. Brucella arthritis: A study of 96 cases in Kuwait. Ann Rheum Dis 1990;49(12):994-8.
  • 8) Ozgocmen S, Ardicoglu A, Kocakoc E, Kiris A, Ardicoglu O. Paravertebral abscess formation due to brucellosis in a patient with ankylosing spondylitis. Joint Bone Spine 2001;68(6):521-4.
  • 9) Berrocal A, Gotuzzo E, Calvo A, Carrillo C, Castaneda O, Alarcon GS. Sternoclavicular brucellar arthritis: A report of 7 cases and a review of the literature. J Rheumatol 1993;20(7):1184-6.
  • 10) Handal G, Compte ML. Brucellosis: A treatable cause of monoarthritis. Clin Orthop 1982;168(2):211-3.
  • 11) Wernaers P, Handelberg F. Brucellar arthritis of the knee: A case report with delayed diagnosis. Acta Orthop Belg 2007;73(6):795-98.
  • 12) Rashkoff ES, Burkhalter WE, Mann RJ. Septic arthritis of the wrist. J Bone Joint Surg Am. 1983;65(6):824-8.
  • 13) Ariza J, Bosch J, Gudiol F, Linares J, Viladrich PF, Martin R. Relevance of in vitro antimicrobial susceptibility of Brucella melitensis to relapse rate in human brucellosis. Antimicrob Agents Chemother 1986;30(6):958-60.
  • 14) Akova M, Uzun O, Akalin HE, Hayran M, Unal S, Gur D. Quinolones in treatment of human brucellosis: comparative trial of ofloxacin-rifampin versus doxycycline-rifampin. Antimicrobial Agents and Chemotherapy 1993;37(9):1831-34.
  • 15) Bayindir Y, Sonmez E, Aladag A, Buyukberber N. Comparison of five antimicrobial regimens for the treatment of brucellar spondylitis: A prospective, randomized study. J Chemother 2003;15(5):466-71.
  • 16) Colmenero JD, Reguera JM, Fernandez-Nebro A, Cabrera-Franquelo F. Osteoarticular complications of brucellosis. Ann Rheum Dis 1991;50(1):23-6.
  • 17) Gundes H, Kurt H, Buluc L, Erguner H. Dejeneratif el bileği eklemi patolojilerinin tedavisinde proksimal sıra rezeksiyon artroplastisinin orta dönem sonuçları. Acta Orthop Traumatol Turc 2004;38(1):34-41.