Orthopedic (Osteoarticular) Manifestations of Brucellosis
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N. Janmohammadi (MD) * , M.R. Hasanjani Roushan (MD) |
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Abstract: (73333 Views) |
BACKGROUND AND
OBJECTIVE: Brucellosis such as tuberculosis is a multisystem chronic inflammatory
and infectious granulomatous disease with various and deceptive manifestations
that involves bone, joint and related structures. Orthopedic (osteoarticular)
manifestations are the most common and various localized forms of brucellosis
which were discussed in this study. METHODS: For preparation of this manuscript by using
Mesh keywords about osteoarticular manifestations of tuberculosis, 107 papers
published in Scopus, Google Scholar, Pubmed and Elsevier during 1974-2013 and
textbooks of Campbell's operative orthopedics, Tachdjian's pediatric
orthopedics, Principles and Practice of Infectious Diseases and Feigin
and Cherry Pediatric infectious Diseases were used. FINDINGS: The
axial skeleton (vertebrae) is the most common site of involvement with a
frequency ranging from 2% to 53%. Half of patients suffering from brucellosis
manifest with back pain. Spondylitis or osteomylitis of vertebra with frequency
of 2 to 60% due to causing neurological complication is the dangerous form of
brucellosis and the spondylodiscitis is the rigorous one because of the
possibility of neurological deficit and death. In the extremities, brucellosis
presents as enthesopathy, myalgia, bursitis, myositis, arthralgia, arthritis,
osteomyelitis, tendonitis and tenosynovitis. Brucellosis may involve artificial
knee and hip joints. Brucellar arthritis and osteomyelitis concomitant with
extra articular metallic devices were also reported. CONCLUSION: Brucellosis
manifests with various musculoskeletal (orthopedics) manifestations. In
confronting patients with musculoskeletal malaise sustaining a high index of
suspicion is essential particularly in risk individuals and in patients living
in endemic areas for early diagnosis and to prevent mistake and its unpleasant
outcomes. Diagnosis of osteoarticular brucellosis is based on clinical
findings, and various diagnostic measures. Diagnosis and appropriate treatment
of these patients necessitates friendly cooperation between orthopedist,
neurosurgeon and infectious diseases specialist. |
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Keywords: Brucellosis, Manifestations, Orthopedics, Osteoarticular. |
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Full-Text [PDF 374 kb]
(5391 Downloads)
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Type of Study: Research |
Subject:
Biochemical Received: 2013/01/27 | Accepted: 2013/05/1 | Published: 2014/08/9
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