Shoulder Tenosynovitis due to Brucellosis

Bruselloz pek çok coğrafik bölgede hala büyük bir sağlık problemi olarak devam etmektedir. Yirmi sekiz yaşında, çiftçilik yapan hasta, kliniğimize 20 gündür olan ateş, titreme, gece terlemesi, omuz ağrısı, yaygın kas ve eklem ağrıları şikayetleriyle başvurdu. Anamnezinde çiftçilikle uğraştığı öğrenildi ve pastörize edilmemiş sütten üretilen taze peynir tüketimi hikayesi vardı. Brusella standart tüp aglütinasyon testi 1/640 titrede pozitif idi. Yedi günlük inkübasyondan sonra kan kültüründen Brucella melitensis izole edildi. Hastanın tanısında radyografik anormallikler gözlendi. Hastaya üç hafta oral olarak 200 mg/gün doksisiklin ve 1 g/gün intramusküler streptomisin verildi. Tedaviye oral olarak 200 mg/gün doksisiklinle altı hafta daha devam edildi. Medikal tedavi ile tam iyileşme sağlandı.

Omuz ekleminde Bruselloza bağlı Tenosinovit

Brucellosis remains a major health problem in many geographical areas. A 28-year-old farmer was referred to our clinic with a 20-day history of fever, chills, night sweats, shoulder pain, and generalized myalgia and arthralgia. His history revealed that he was a farmer by profession and had consumed fresh white cheese using unpasteurized milk. Standard tube agglutination for Brucella was positive at a titer of 1/640. Brucella melitensis was isolated from blood culture after a seven-day incubation. At diagnosis, the patient showed radiographic abnormalities. He was treated with doxycycline 200 mg/day orally and streptomycin 1 g/day intramuscularly for three weeks. Treatment with doxycycline 200 mg/day orally was then maintained for a further six weeks. Complete resolution was achieved with medical treatment.

Kaynakça

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