Brusellozis: 127 Olgunun değerlendirmesi
Authors : Emel Arıbaş, Abdullah Yılmaz, Mehmet Bitirgen
Pages : 0-0
Doi:10.17343/sdutfd.72102
View : 11 | Download : 10
Publication Date : 2009-03-19
Article Type : Other Papers
Abstract :SüleymanDemirel Üniversitesi TIP FAKÜLTESİ DERGİSİ: 2001 ; 8insert ignore into journalissuearticles values(1); Brusellozis: 127 Olgunun değerlendirmesi Emel Türk Arıbaş , Abdullah Yılmaz, Mehmet Bitirgen Özet Bu çalışmada, bruselloz tanısı ile izlenen 127 olguda bulaş yollan, klinik, laho¬ra t uva r ve tedavi özellikleri değerlendirildi. Yaşlan 14-86 insert ignore into journalissuearticles values(ort:45.79); arasında değişen olguların 72 insert ignore into journalissuearticles values(%56.69);` ı kadın, 55 insert ignore into journalissuearticles values(%43.30);` u erkek idi. Olguların 76 insert ignore into journalissuearticles values(%59.83);` smda bulaş yolu olarak hayvancılıkla uğraşma, çiğ süt ve süt ürünleri tüketimi saptandı. En sık rastlanan yakınmalar; ateş insert ignore into journalissuearticles values(%50.39);, artralji insert ignore into journalissuearticles values(%46.45);, halsizlik insert ignore into journalissuearticles values(%39.37); ve ter¬leme insert ignore into journalissuearticles values(%30.70); olarak belirlendi. Fizik muayene bulgusu olarak en sık saptanan anor¬mallikler sırasıyla ateş insert ignore into journalissuearticles values(%33.07);, hepatomegali insert ignore into journalissuearticles values(%19.6);, artrit insert ignore into journalissuearticles values(%J4.17); ve splenome-gali insert ignore into journalissuearticles values(%11.81); idi. Sadece 3 olguda menenjit ve birinde orşit vardı. Olguların tamamında STA testi > 11160 bulundu ve % 4.72` sinde Brıtcella spp. izole edildi. Tedavide 93 has¬taya doksisiklin + rifampisin ve 30 olguya doksisiklin +•- streptomisin 6 hafta süreyle uygulandı. Doksisiklin + rifampisin uygulanan hastalarda relaps %5.3 ve doksisiklin + streptomisin uygulananlarda %3 olarak saptandı. Aralarındaki fark istatistiksel olarak anlamlı değildi. Anahtar Kelimeler: Brusellozis,Tanı, Komplikasyon, Tedavi Abstract Brucellosis : Evaluation Of 127 Cases in this study, 127 patients diagnosed as brucellosis were evaluated about trans-mission routes, clinical, laboratory and therapeutic features. Ranging between 14-86 insert ignore into journalissuearticles values(mean:45.79); years, 72 insert ignore into journalissuearticles values(%56.96); of the patients werefemale, 55 insert ignore into journalissuearticles values(%43.30); were male. in 76 insert ignore into journalissuearticles values(%59.83); of the cases, infection was releated with stock raising and consuming unpasteurised milk and milk products. The most freauently complaints detected were fever insert ignore into journalissuearticles values(%50.39);, arthralgy insert ignore into journalissuearticles values(%40.45);, lack of appetite insert ignore into journalissuearticles values(%39.37); and sweating insert ignore into journalissuearticles values(%30.70);. As physical examination fındings, the most frequently abnormaUties were detected as fever insert ignore into journalissuearticles values(%33.07);, hepatomegaly insert ignore into journalissuearticles values(%19.60);, arthritis insert ignore into journalissuearticles values(%14.17);, splenomegaly insert ignore into journalissuearticles values(%11.81);. Only in 3 cases meningitis and in öne orchitis had developed as complication of brucel¬losis. in ali cases the standart tube aglutination insert ignore into journalissuearticles values(STA); test ti ter was found > 1/160 and in %4.72 of the cases Brucella spp. could be isolated. 93 patients received a combina-tion therapy composed of doxycycline plus rifampinfor 6 weeks and 30 cases used doxy-cycline plus streptomycin for 6 weeks. The patients who received doxycycline plus rifampin had a relaps rate of%5.3, wherease the rate of the other groıtp which received doxycycline plus streptomycin w as found as %10. The difference between two groups was not statistically signifıcant insert ignore into journalissuearticles values(p>0.05);. Key Words: Brucellosis,Diagnosis, Complications, TreatmentKeywords :