Zoonotic brucellosis: an underestimated or misdiagnosed disease in Egypt

Over six months, 329 suggestive consecutive brucellosis human cases were diagnosed in attending the out-patients clinics of Al Azhar and Ain Shams Universities Hospitals and Giza Governorate Farmers. They were 100 females and 229 males with ages ranged between 15-65 years old. A total of 213 [64.75%] were working in dairy farm and/or consumed raw milk, 16 [14.85%] used home slaughtering of sheep, and 100 [30.4%] were working in Giza Government slaughter-house. Clinically and by ELISA-IgM 259 out of 329 the subjects were proven brucellosis patients [77.8%]. Besides, other patients had toxoplasmosis, or Schistosomiasis mansoni or fascioliasis. Double infection was encountered with toxoplasmosis and either schistosomiasis or fascioliasis. The causes of endemic liver parasitosis that may give false-clinical diagnosis were excluded. Signs and symptoms of brucellosis patients were fever [91.5%], chills [84.1%], Myalgia [69.5%], headache [58.2%], fatigue [77.2%], anorexia [54.1%], tachycardia [38.6%], hepato-and/or splenomegaly [46.2%], lymphadenopaqthy [19.6%] lower back abdominal pain [8.8%] and/or constitutive symptoms [13.1%]

Haematological side effect of Helicobacter pylori eradication

The effect of Helicobacter pylori infection on systemic disorders is not well understood. This study was to evaluate the effect of H. pylori eradication on blood count, differential leucocytic count and RBCs indices. In this study, atotal of 115 H. pylori positive patients underwent eradication triple therapy for one week, with cured 100 patients. Complete blood count, RBCs indices and differential leucocytic count were analyzed before 2 and 12 weeks after eradication for the cured patients. The results showed that two weeks after H. pylori eradication, platelets count significantly increased but total leucocytic counts and neutrophils were significantly reduced. After three months, RBCs count, Hb concentration, MCV and MCHC were significantly increased, but lymphocytic counts was significantly reduced