Two cases of brucellosis with different clinical manifestation Case Report

Yıl 2007, Cilt: 42 Sayı: 1, 37 - 39, 01.03.2007

Nilgün Selçuk Emel Ataoğlu Gizem Kara Murat Elevli

Öz

Brucellosis is an important zoonotic infection which is a problem of public health in our country The infection can develop with pulmonary cutaneous neurological gastrointestinal genitourinary cardiovascular and hematological complications As brucellosis can mimic many diseases with different clinical manifestations we emphasized that the disease should be taken into consideration in the differential diagnosis Thus we presented two different cases of brucellosis with relatively uncommon complications one of which is nbsp; thrombocytopenia and the other is infective endocarditis Turk Arch Ped 2007; 42: 37 9 Key words: Brucellosis endocarditis thrombocytopenia

Anahtar Kelimeler

-

Değişik klinik görünümler ile gelen iki brusella olgusu Olgu Sunumu

Öz

Bruselloz ülkemiz için önemli bir halk sağlığı sorunu olan zoonotik bir hastalık olup akciğer deri sinir sistemi sindirim sistemi genitoüriner kardiyovasküler ve hematolojik komplikasyonlar ile seyredebilmektedir Burada ender görülen bir komplikasyon olan trombositopeni ile seyreden bir olgu ile enfektif endokardit kliniğinde gelen bir diğer olguyu sunarak brusella enfeksiyonlarının değişik klinik görünümler ile karşımıza çıkabileceğini ve ayırıcı tanıda akılda tutulması gerektiğini vurgulamak istedik Türk Ped Arş 2007; 42: 37 9 Anahtar kelimeler: Brusella endokardit trombositopeni

Anahtar Kelimeler

-

Kaynakça

• Galanakis E, Bouratos KL, Leveidiotu S, Lapatsanis PD. Childhood Brucellosis in North-Western Greece: A retros- pective analysis. Eur J Pediatr 1996; 155: 1-6.
• Tsolia M, Drakonaki S, Messaritaki A, et al. Clinical featu- res, complications, and treatment outcome of childhood brucellosis in central Greece. J İnfect 2002; 44: 257-62.
• Taşbakan MI, Yamazhan T, Gokengin D, et al. Brucellosis: a retrospective evoluation. Trop Doct 2003; 33: 151-3.
• Namiduru M, Gungor K, Dikensoy O, et al. Epidemiologi- cal, clinical and laboratory features of brucellosis: A pros- pective evoluation of 120 adult patients. Int J Clin Pract 2003; 57: 20-4.
• Gur A, Geyik MF, Dikici B, et al. Complications of brucello- sis in different age groups: A study of 283 cases in Sout- hestern Anatolia of Turkey. Yonsei Med J 2003; 44: 33-4.
• Yıldızdaş D, Alhan E, Antmen B, Yağar H. Trombositopeni ile giden bir Brusella olgusu. Ç.Ü. Tıp Fakültesi Dergisi 1998; 23: 59-60.
• al- Eissia Y, al. Nasser M. Haematological manifestation of childhood brucellosis. Infection 1993; 21: 23-6.
• al- Eissia Y, Assuhami SA, al. Fawaz IM, Higgy KE, al. Nos- ser MN, al-Mobaireek KF. Pancytopenia in children with brucellosis: clinical manifestations and bone marrow fin- dings. Acta Haematol 1993; 89: 132-6.
• Young EJ, Torry A, Genta RM, Aydın N, Gotuzzo E. Trom- bocytopenic purpura associated with brucellosis: Report of cases and literature review. Clin Infect Dis 2000; 31: 904-9.
• Colmenerojo JD, Requera JM, Martos F, et.al Complicati- ons associated with brucella melitensis infection, a study of 530 cases. Medicine 1996; 75: 195-211.
• Kula S, Erer D, Büyükataş M, Tunaoğlu FS, Olguntürk R, Ozdogan EM. Brucella endocarditis: case report and review of the literature. J Heart valve Dis 2001; 10: 486-8.