Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Sat, Nov 23, 2024
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Volume 15, Issue 2 (8-2001)
Med J Islam Repub Iran 2001 |
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BEHESHTI S, REZAIAN G, AGHASADEGHI K, FAGHIRI Z, AGHAJAN SHAKERI M. BRUCELLOSIS IN IRAN: THE FARS PROVINCE EXPERIENCE. Med J Islam Repub Iran 2001; 15 (2) :67-71
URL: http://mjiri.iums.ac.ir/article-1-805-en.html
URL: http://mjiri.iums.ac.ir/article-1-805-en.html
From the Departments of Clinical Pathology Shiraz University of Medical Sciences, Shiraz, I.R, Iran
Abstract: (5574 Views)
Over a 10-year period, l30 consecutive cases of brucellosis were encountered
and were prospectively treated and followed. Twenty-one cases were children
and the remainder were adults. There were 93 males and 37 females with a
male: female ratio of 2.5 to one. The age range of the patients was from 2 to 74
years with a mean of 30 years. Fifty-five percent of cases were from rural areas
and the rest from major cities of the Fars province. The disease was most frequently
seen during spring and summer. Although it was seen in ranchers and
farmers who usually deal with small ruminants in our country, it was also frequently
seen in those with other professions. Animal contact was common (33%)
as well as consumption of raw unpasteurized milk and fresh cheese which was
seen in almost half of the cases. Fever and sweating were the most common complaints
and arthritis and splenomegaly were the most frequent physical findings.
Bilateral sacroiliac joint involvement was the most common arthritic disorder
and was exclusively seen in adults. Knee and ankle joint involvement was commonly
seen in children. They were unilateral and monoarticular in their presentation.
Seven cases had orchitis and one pregnant lady developed second trimester
abortion. Treatment with conventionally recommended antibiotics was successful
in all except two cases who had relapse secondary to an inadequate course of
drug therapy. The two, however, responded to another course of full term antibiotic
therapy with full recovery.
In contrast to western countries were cattle and swine are the most frequent sources
for human brucellosis, sheep and goats are the most common source of infection in our
country. Here, the disease is not an exclusively occupational one for young adult males and
an indirect oral route of disease transmission is quite frequent. Brucellosis, therefore, affects
both children and adults of either sex, with a wide age range. Prohibition of ingestion
of raw milk: and fresh cheese as well as control of Brucella melitensis infection in sheep
and goats can significantly reduce the burden of disease in our country.
Type of Study: Original Research |
Subject:
Pathology
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