Research Article

Contribution of laboratory data to diagnosis and treatment in patients with brucellosis: a 5-year cross-sectional analysis

Volume: 9 Number: 4 July 20, 2026

Contribution of laboratory data to diagnosis and treatment in patients with brucellosis: a 5-year cross-sectional analysis

Abstract

Aims: This study aimed to evaluate laboratory findings in patients with brucellosis in our region where livestock farming is widespread and to examine their contribution in diagnosis. Methods: 254 patients who presented to our hospital’s infectious diseases outpatient clinic with various complaints between 2017 and 2021, tested positive standard tube agglutination (STA), were included in the study. Patients were divided into two groups based on their STA titers: low titers (1/80 and 1/160) and high titers (≥1/320). These two groups were compared regarding demographic data, laboratory data, and symptoms at presentation. Results: According to STA titer, 93 patients (36.6%) had low titers, while 161 patients (63.4%) had high titers. The most common complaints were low back pain and with no significant difference between the two groups. The mean C-reactive protein (CRP) value was higher in the low titer group than in the high titer group, and a significant difference was found between the two groups. Erythrocyte sedimentation rate (ESR), neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) values were slightly higher in the low titer group than in the high titer group, but this difference was not statistically significant. Conclusion: Our study found that laboratory parameters such as CRP, ESR, NLR, and PLR were higher in patients with low titers compared to those with high titers, but significant difference was found only in CRP. Therefore, we believe that in addition to the STA test used in the diagnosis of brucellosis, other laboratory parameters can also assist the clinician in diagnosis.

Keywords

Supporting Institution

There is no supporting institution

Project Number

There is no project number

Ethical Statement

Approval for this study was obtained from Balikesir University School of Medicine, Ethics Committee for Clinical Investigations (Decision Number 2023/02, Date: January 04, 2023).

Thanks

There is no thanks

References

  1. Qureshi KA, Parvez A, Fahmy NA, et al. Brucellosis: epidemiology, pathogenesis, diagnosis and treatment-a comprehensive review. Ann Med. 2023;55(2):2295398. doi:10.1080/07853890.2023.2295398
  2. Liu Z, Gao L, Wang M, Yuan M, Li Z. Long ignored but making a comeback: a worldwide epidemiological evolution of human brucellosis. Emerg Microbes Infect. 2024;13(1):2290839. doi:10.1080/22221751.2023.2290839
  3. Laine CG, Johnson VE, Scott HM, Arenas-Gamboa AM. Global estimate of human brucellosis incidence. Emerg Infect Dis. 2023;29(9):1789-1797. doi:10.3201/eid2909.230052
  4. Zheng R, Xie S, Lu X, et al. A systematic review and meta-analysis of epidemiology and clinical manifestations of human brucellosis in China. Biomed Res Int. 2018;2018:5712920. doi:10.1155/2018/5712920
  5. Yagupsky P, Morata P, Colmenero JD. Laboratory diagnosis of human brucellosis. Clin Microbiol Rev. 2019;33(1):00073-19. doi:10.1128/CMR.00073-19
  6. Nik Mazlan SA, Abdul Hadi Sabri FS, Mohamed Zahidi J, Seman Z, Ahmad N, Ramli SR. Human brucellosis: six years retrospective study on seropositivity in Malaysia. Malays J Pathol. 2022;44(2):269-276.
  7. Balin SO, Tartar AS, Akbulut A. The predictive role of haematological parameters in the diagnosis of osteoarticular brucellosis. Afri Health Sci. 2018;18(4):988-994. doi:10.4314/ahs.v18i4.19
  8. Bozdemir SE, Altintop YA, Uytun S. Diagnostic role of mean platelet volume and neutrophil to lymphocyte ratio in childhood brucellosis. Korean J Intern Med. 2017;32(6):1075-1081. doi:10.3904/kjim.2016.092

Details

Primary Language

English

Subjects

Medical Infection Agents

Journal Section

Research Article

Publication Date

July 20, 2026

Submission Date

March 2, 2026

Acceptance Date

June 3, 2026

Published in Issue

Year 2026 Volume: 9 Number: 4

APA
Duran, H., Çeken, N., Kula Atik, T., & Yeniiz, E. (2026). Contribution of laboratory data to diagnosis and treatment in patients with brucellosis: a 5-year cross-sectional analysis. Journal of Health Sciences and Medicine, 9(4), 933-937. https://izlik.org/JA87FL45TZ
AMA
1.Duran H, Çeken N, Kula Atik T, Yeniiz E. Contribution of laboratory data to diagnosis and treatment in patients with brucellosis: a 5-year cross-sectional analysis. J Health Sci Med / JHSM. 2026;9(4):933-937. https://izlik.org/JA87FL45TZ
Chicago
Duran, Hülya, Nihan Çeken, Tuğba Kula Atik, and Esma Yeniiz. 2026. “Contribution of Laboratory Data to Diagnosis and Treatment in Patients With Brucellosis: A 5-Year Cross-Sectional Analysis”. Journal of Health Sciences and Medicine 9 (4): 933-37. https://izlik.org/JA87FL45TZ.
EndNote
Duran H, Çeken N, Kula Atik T, Yeniiz E (July 1, 2026) Contribution of laboratory data to diagnosis and treatment in patients with brucellosis: a 5-year cross-sectional analysis. Journal of Health Sciences and Medicine 9 4 933–937.
IEEE
[1]H. Duran, N. Çeken, T. Kula Atik, and E. Yeniiz, “Contribution of laboratory data to diagnosis and treatment in patients with brucellosis: a 5-year cross-sectional analysis”, J Health Sci Med / JHSM, vol. 9, no. 4, pp. 933–937, July 2026, [Online]. Available: https://izlik.org/JA87FL45TZ
ISNAD
Duran, Hülya - Çeken, Nihan - Kula Atik, Tuğba - Yeniiz, Esma. “Contribution of Laboratory Data to Diagnosis and Treatment in Patients With Brucellosis: A 5-Year Cross-Sectional Analysis”. Journal of Health Sciences and Medicine 9/4 (July 1, 2026): 933-937. https://izlik.org/JA87FL45TZ.
JAMA
1.Duran H, Çeken N, Kula Atik T, Yeniiz E. Contribution of laboratory data to diagnosis and treatment in patients with brucellosis: a 5-year cross-sectional analysis. J Health Sci Med / JHSM. 2026;9:933–937.
MLA
Duran, Hülya, et al. “Contribution of Laboratory Data to Diagnosis and Treatment in Patients With Brucellosis: A 5-Year Cross-Sectional Analysis”. Journal of Health Sciences and Medicine, vol. 9, no. 4, July 2026, pp. 933-7, https://izlik.org/JA87FL45TZ.
Vancouver
1.Hülya Duran, Nihan Çeken, Tuğba Kula Atik, Esma Yeniiz. Contribution of laboratory data to diagnosis and treatment in patients with brucellosis: a 5-year cross-sectional analysis. J Health Sci Med / JHSM [Internet]. 2026 Jul. 1;9(4):933-7. Available from: https://izlik.org/JA87FL45TZ

Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS].

The Directories (indexes) and Platforms we are included in are at the bottom of the page.

Note: Our journal is not WOS indexed and therefore is not classified as Q.

You can download Council of Higher Education (CoHG) [Yüksek Öğretim Kurumu (YÖK)] Criteria) decisions about predatory/questionable journals and the author's clarification text and journal charge policy from your browser. https://dergipark.org.tr/tr/journal/2316/file/4905/show







The indexes of the journal are ULAKBİM TR Dizin, ICI World of Journals, DOAJ, Directory of Research Journals Indexing (DRJI), General Impact Factor, ASOS Index, WorldCat (OCLC), MIAR, OpenAIRE, Türkiye Citation Index, Türk Medline Index, InfoBase Index, Scilit, etc.

       images?q=tbn:ANd9GcRB9r6zRLDl0Pz7om2DQkiTQXqDtuq64Eb1Qg&usqp=CAU

500px-WorldCat_logo.svg.png

atifdizini.png

logo_world_of_journals_no_margin.png

images?q=tbn%3AANd9GcTNpvUjQ4Ffc6uQBqMQrqYMR53c7bRqD9rohCINkko0Y1a_hPSn&usqp=CAU

doaj.png  

images?q=tbn:ANd9GcSpOQFsFv3RdX0lIQJC3SwkFIA-CceHin_ujli_JrqBy3A32A_Tx_oMoIZn96EcrpLwTQg&usqp=CAU

ici2.png

asos-index.png

drji.png





The platforms of the journal are Google Scholar, CrossRef (DOI), ResearchBib, Open Access, COPE, ICMJE, NCBI, ORCID, Creative Commons, etc.

COPE-logo-300x199.jpgimages?q=tbn:ANd9GcQR6_qdgvxMP9owgnYzJ1M6CS_XzR_d7orTjA&usqp=CAU

icmje_1_orig.png

cc.logo.large.png

ncbi.pngimages?q=tbn:ANd9GcRBcJw8ia8S9TI4Fun5vj3HPzEcEKIvF_jtnw&usqp=CAU

ORCID_logo.png

1*mvsP194Golg0Dmo2rjJ-oQ.jpeg


Our Journal using the DergiPark system indexed are;

Ulakbim TR Dizin,  Index Copernicus, ICI World of JournalsDirectory of Research Journals Indexing (DRJI), General Impact FactorASOS Index, OpenAIRE, MIAR,  EuroPub, WorldCat (OCLC)DOAJ,  Türkiye Citation Index, Türk Medline Index, InfoBase Index


Our Journal using the DergiPark system platforms are;

Google, Google Scholar, CrossRef (DOI), ResearchBib, ICJME, COPE, NCBI, ORCID, Creative Commons, Open Access, and etc.


Journal articles are evaluated as "Double-Blind Peer Review". 

Our journal has adopted the Open Access Policy and articles in JHSM are Open Access and fully comply with Open Access instructions. All articles in the system can be accessed and read without a journal user.  https//dergipark.org.tr/tr/pub/jhsm/page/9535

Journal charge policy   https://dergipark.org.tr/tr/pub/jhsm/page/10912

Our journal has been indexed in DOAJ as of May 18, 2020.

Our journal has been indexed in TR-Dizin as of March 12, 2021.


17873

Articles published in Journal of Health Sciences and Medicine have open access and are licensed under the Creative Commons CC BY-NC-ND 4.0 International License.