Mile Bosilkovski1, Ljiljana Krteva2, Sonja Caparoska2, Nikola Labacevski3, Mile Petrovski4. 1. Medical Faculty, 'Ss Cyril and Methodius' University, Skopje, Macedonia. Electronic address: milebos@yahoo.com. 2. University Clinic for Infectious Diseases and Febrile Conditions, Skopje, Macedonia. 3. Medical Faculty, 'Ss Cyril and Methodius' University, Skopje, Macedonia; Institute for Clinical Pharmacology, Skopje, Macedonia. 4. Medical Faculty, 'Ss Cyril and Methodius' University, Skopje, Macedonia; University Clinic for Pediatric Surgery, Skopje, Macedonia.
Abstract
OBJECTIVE: To describe the main epidemiological, clinical, and laboratory features, treatment options and outcome in children with brucellosis. METHODS: Retrospectively evaluated data were obtained from 317 pediatric patients with brucellosis that were treated at the University Clinic for Infectious Diseases and Febrile Conditions in Skopje, during the period from 1989 to 2011. The medical records and follow-up protocols were used for evaluation. RESULTS: Childhood brucellosis composed 317 (18.7%) of 1691 patients with brucellosis. The patients were median 9 years old, ranging from 7 months to 14 years, and 201 (63.4%) were males. Family history was present in 197 (62.1%), and direct contact with animals occurred in 140 (44.2%) of the children. The dominant manifestations were fever in 248 (78.2%), joint pain in 228 (71.9%) and hepatomegaly in 216 (68.1%). Organ affection was present in 206 (65.0%) of the patients. One hundred and six (33.4%) of the patients were treated with combination composed of two, and 211 (66.6%) with three antimicrobial agents. Relapses were registered in 21 (6.6%), and therapeutic failures in 3 (0.9%) of the children. CONCLUSIONS: In endemic regions childhood brucellosis represents a significant part of human cases. Wide spectrum of clinical manifestations, frequent affection of various organ systems and possibility of relapses show that brucellosis could be a serious disease in this age group. The presence of fever, joint pain, sweating, and affection of various systems in children from endemic regions should alert pediatricians for the possibility of brucellosis.
OBJECTIVE: To describe the main epidemiological, clinical, and laboratory features, treatment options and outcome in children with brucellosis. METHODS: Retrospectively evaluated data were obtained from 317 pediatric patients with brucellosis that were treated at the University Clinic for Infectious Diseases and Febrile Conditions in Skopje, during the period from 1989 to 2011. The medical records and follow-up protocols were used for evaluation. RESULTS:Childhood brucellosis composed 317 (18.7%) of 1691 patients with brucellosis. The patients were median 9 years old, ranging from 7 months to 14 years, and 201 (63.4%) were males. Family history was present in 197 (62.1%), and direct contact with animals occurred in 140 (44.2%) of the children. The dominant manifestations were fever in 248 (78.2%), joint pain in 228 (71.9%) and hepatomegaly in 216 (68.1%). Organ affection was present in 206 (65.0%) of the patients. One hundred and six (33.4%) of the patients were treated with combination composed of two, and 211 (66.6%) with three antimicrobial agents. Relapses were registered in 21 (6.6%), and therapeutic failures in 3 (0.9%) of the children. CONCLUSIONS: In endemic regions childhood brucellosis represents a significant part of human cases. Wide spectrum of clinical manifestations, frequent affection of various organ systems and possibility of relapses show that brucellosis could be a serious disease in this age group. The presence of fever, joint pain, sweating, and affection of various systems in children from endemic regions should alert pediatricians for the possibility of brucellosis.
Authors: Ghadi Mohammed Al Hashan; Nagah Mohamed Abo El-Fetoh; Iman Ali Nasser; Atheer Raja Alyami; Albatool Saleh Hassan Almagbool; Taghreed Ahmad Eidih Hatuwh; Fatimah Hamad Saleh Alyami; Maram Hamad Al Yami; Manar Hamad Alqahtani; Nouf Mubarak Ali Almardhamah; Tahani Mohammed Alanazi; Wafaa Mohamed Bakr Ali; Ahad Mesfer Halzaa; Ayah Abdullah Alshehri Journal: Electron Physician Date: 2017-12-25
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