[Brucellosis arthritis: infection or inflammation of joint?]

ABSTRACT

The description of Brucellosis arthritis feature with other findings in the main goal of this study. This is a 2 years descriptive and prospective study, which includes 20 patients who diagnosed as brucellosis and join involvement. In this study, arthritis involvements were as follow Sacroilitis [70%], Peripheral arthritis [15%], Sacroilitis and arthritis [12/5%] and Spondylitis [2/5%]. The other finding of this study include Range of age between 15-30 [80%], male to female ratio [51], rural to urban ratio [21], fever more than 38 degree of Centigrade [60%], Normal CBC [90%], relative lymphocytosis [70%], ESR more than 25 mm/ 1st hour [100%], Wright titer 1320, and 2ME titer 1160. With beginning of standard anti brucellosis regimen and supportive care, there was a 100% cure rate and no any sequel of arthritis. There was no relapse in next few months follow up of them. This study confirms previous findings, which indicate, Brucellosis arthritis have a good prognosis and outcome, without any sequel. So it seems that Brucellosis arthritis are rather inflammations than infection of joint [Septic arthritis]