Bir ailede gelişen bruselloz olgularının değerlendirilmesi
Bir ailede gelişen bruselloz olgularının değerlendirilmesi
Yazar: Kader, Çiğdem; Erbay, Ayşe
Dergi: Cumhuriyet Tıp Dergisi, Vol. 36 No. 4, 2014
Anahtar kelimeler: Brucellosis, family members, transmission ; Bruselloz, aile bireyleri, bulaş

ÖzetBruselloz hayvanlardan insanlara bulaşan ve gelişmekte olan ülkelerde endemik olarak görülen bir zoonozdur. Hayvancılıkla uğraşan kişilerde, kasaplarda, veterinerlerde, taze peynir yeme öyküsü olanlarda ve laboratuvar çalışanlarında görülmektedir. Hayvancılıkla uğraşan bir ailede gelişen bruselloz olgularının epidemiyolojik, klinik ve laboratuvar bulguları bu makalede incelendi. Tüm olgularda ateş, sedimentasyon yüksekliği, C-reaktif protein yüksekliği ve artralji mevcut idi. Hastaların yakınmalarının süresi 7-21 gün arasında değişmekteydi. Bir hastada L3-L4 düzeyinde spondilodiskit mevcut idi. Dört olgu rifampisin ve doksisiklin tedavisi ile iyileşti, olgulardan birisi (spondilodiskit) ise kotrimaksazol ve rifampisin ile tedavi edildi. Tüm olgularda medikal tedavi ile tam iyileşme sağlandı ve relaps izlenmedi. Bu olgular brusellozun, hastalık taşıyan hayvanlardan, bu hayvanlara bakım veren kişilerin tümüne bulaşabileceğini vurgulamak amacıyla sunulmuştur.Anahtar sözcükler: Bruselloz, aile bireyleri, bulaş AbstractBrucellosis is a zoonosis transmitted from animals to humans and endemically seen in developing countries. It is seen among veterinarians, laboratory workers and ones who deal with animal husbandry, butchery, have history of eating fresh cheese. In this article, epidemiological, clinical and laboratory findings of brucellosis cases developed in a family dealing with animal husbandry were evaluated. In all cases; there were fever, elevated erythrocyte sedimentation rate, increased C-reactive protein levels, and arthralgia. Duration of the complaints were ranging between 7 to 21 days. One of the cases had spondylodiscitis at level of L3-L4. Four of the cases were treated with rifampicin and doxycycline, one cese with spondylodiscitis was treated with the co-trimoxazole and rifampicine. Complete cure was obtained with medical treatment in all patients, and relapse wasn’t observed in any of them. These cases were presented in order to emphasize that brucellosis might be transmitted from bacteria-carrying animals to all caregivers dealing with them.Keywords: Brucellosis, family members, transmission

Brucellosis is a zoonosis transmitted from animals to humans and endemically seen in developing countries. It is seen among veterinarians, laboratory workers and ones who deal with animal husbandry, butchery, have history of eating fresh cheese. In this article, epidemiological, clinical and laboratory findings of brucellosis cases developed in a family dealing with animal husbandry were evaluated. In all cases; there were fever, elevated erythrocyte sedimentation rate, increased C-reactive protein levels, and arthralgia. Duration of the complaints were ranging between 7 to 21 days. One of the cases had spondylodiscitis at level of L3-L4. Four of the cases were treated with rifampicin and doxycycline, one cese with spondylodiscitis was treated with the co-trimoxazole and rifampicine. Complete cure was obtained with medical treatment in all patients, and relapse wasn’t observed in any of them. These cases were presented in order to emphasize that brucellosis might be transmitted from bacteria-carrying animals to all caregivers dealing with them