ABSTRACT
La brucelosis es un importante problema de salud y, en algunas regiones, es endémica. En ella, es muy frecuente observar un compromiso osteoarticular (20%-60%). En regiones donde es endémica, al analizar la etiología de la artritis, hay que pensar en esta entidad. En este artículo, se informan los casos de 12 pacientes; 11 de ellos eran varones, y la media de edad fue de 12 años (intervalo: de 2 a 17 años). Se determinó el compromiso de la cadera en 9 pacientes; de la articulación sacroilíaca, en 2; y de la rodilla, en 1. Todos los pacientes tenían artralgia; 8 pacientes tuvieron fiebre; y 1 paciente, leucocitosis. A un paciente se lo sometió a un tratamiento quirúrgico debido a artritis séptica. La infección puede derivar en complicaciones graves, especialmente en el compromiso del aparato locomotor. Debe tenerse en cuenta que, mediante el diagnóstico y tratamiento tempranos, es posible prevenir las complicaciones.
Brucellosis is a significant health problem and is endemic in some regions. Osteoarticular involvement is seen most frequently in brucellosis (20-60%). In regions where brucellosis is endemic, it should be considered in the etiology of arthritis. We report the 12 cases, were 11 males with a mean age of 12 years (range, 2-17 years). Involvement was determined in the hip in 9 cases, the sacroiliac joint in 2 and the knee in 1. All the cases had arthralgia, fever was determined in 8 cases and leukocytosis in one case. Surgical treatment was applied to one case because of septic arthritis. Serious complications of the infection may be encountered and particularly in musculoskeletal system involvement, it should be kept in mind that complications can be prevented by early diagnosis and treatment
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Arthritis/microbiology , Sacroiliac Joint/physiopathology , Sacroiliac Joint/microbiology , Brucella melitensis/isolation & purification , Hip Joint/physiopathology , Hip Joint/microbiology , Knee Joint/physiopathology , Knee Joint/microbiologySubject(s)
Adult , Female , Humans , Arthritis, Infectious/diagnosis , Fever of Unknown Origin/etiology , Sacroiliac Joint , Tuberculosis, Osteoarticular/diagnosis , Antitubercular Agents/therapeutic use , Arthritis, Infectious/complications , Arthritis, Infectious/physiopathology , Body Temperature , Body Temperature Regulation/physiology , Fever of Unknown Origin/diagnosis , Fever of Unknown Origin/physiopathology , Fever/classification , Fever/physiopathology , Recurrence , Sacroiliac Joint/microbiology , Sacrum/microbiology , Tuberculosis, Osteoarticular/complications , Tuberculosis, Osteoarticular/physiopathology , Tuberculosis, Spinal/complications , Tuberculosis, Spinal/diagnosis , Tuberculosis, Spinal/physiopathologyABSTRACT
Two young adult males presented with fever, severe pain, redness, swelling over the left sacroiliac joint and inability to walk and squat. A differential diagnosis of tuberculous sacroiliitis was considered. On blood culture isolation of S. Typhi in both of them was suggestive of sacroiliitis of salmonella etiology. They recovered completely following specific antibiotic therapy, aspirin and bed rest. At recovery both showed extremely high Widal titres.