Çocuk Sağlığı ve Hastalıkları Dergisi
2011 , Vol 54 , Num 3
*Eda Karadağ-Öncel1, Yasemin Özsürekci1, Ali Bülent Cengiz2, Ateş Kara2, Mehmet Ceyhan2, Melda Çelik1, Aslınur Özkaya-Parlakay1
Hacettepe Üniversitesi Tıp Fakültesi1Pediatri Uzmanı,2 Pediatri Profesörü
In the present study, 24 cases with brucellosis followed up from 1 January
2000 to 30 April 2010 in the Infectious Diseases Unit of Hacettepe University
İhsan Doğramacı Children’s Hospital were retrospectively reviewed. Brucellosis
was diagnosed by an increased brucella agglutination titer of 1:160 or greater
and/or isolation of the organism by culture in the presence of clinical
findings. The 24 patients (13 males, 11 females) were aged 11.2±3.5 years.
File records were obtained, and the most common symptoms on admission
were fever (93.3%), malaise (86.6%), lack of appetite (80%), sweating
(66.6%), and joint pain and swelling (53.3%). On physical examination, the
findings and percentages were as follows: fever (93.3%), arthritis (46.6%),
lymphadenopathy (26.6%), splenomegaly (6.6%), and maculopapular rash
(6.6%). Seventeen percent of the patients had high aminotransferase levels,
63% had high erythrocyte sedimentation rate and 72% had increased levels of
positivity of C-reactive protein (CRP). In 30.7% of the cases, blood cultures
were positive. All of the cases received combined antibiotic therapy. One of
the cases (6.6%) had relapse during the follow-up period.
Anahtar Kelimeler :
bruselloz, çocuk, akut, subakut.
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