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13526

Brucellosis Relapse: A Retrospective Study of Risk Factors among Saudi Patients

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Infectious diseases

Abstract

Background and study aim: Brucellosis is one of the most common zoonotic infections worldwide. Brucella organisms are able to survive and even multiply within mononuclear cells explaining the tendency of the disease to have a prolonged clinical course and relapse. The incidence of relapse in Brucellosis remains high; ranging from 5-30% of patients. The aim of this study is to evaluate possible risk factors of Brucellosis relapse. Patients and Methods: A retrospective study of 127 patients was conducted to evaluate risk factors of Brucellosis relapse. The diagnosis of relapse was based on recurrence of clinical picture within 3-6 months from treatment, increase agglutinating antibody titers and PCR. Different demographic, clinical, laboratory and serological parameters were studied based on the data gathered from the patients` electronic files. Results: Out of 127 patients, 21 (16.5%) patients were diagnosed as relapsers. No significant differences were found between relapsed and non-relapsed patients regarding age, sex, residence, clinical features, complications, lymphocytic count and serological titers. As regard treatment, regimens included Streptomycin and Doxycycline had a significant decrease in relapse occurrence. Conclusion: Anti-microbial regimen included Streptomycin and Doxycycline is the only preventive factor for Brucellosis relapse.

DOI

10.21608/aeji.2018.13526

Keywords

Brucellosis, relapse, risk factors

Authors

First Name

Elsayed

Last Name

Abd elbaser

MiddleName

Saad

Affiliation

Department of Tropical Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Email

dr.sayedsaad79@gmail.com

City

-

Orcid

0000-0001-9492-9707

First Name

Heba

Last Name

Mohammed

MiddleName

A

Affiliation

Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Email

-

City

-

Orcid

-

Volume

8

Article Issue

3

Related Issue

2576

Issue Date

2018-09-01

Receive Date

2018-09-13

Publish Date

2018-09-01

Page Start

149

Page End

154

Print ISSN

2090-7613

Online ISSN

2090-7184

Link

https://aeji.journals.ekb.eg/article_13526.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=13526

Order

5

Type

Original Article

Type Code

616

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023