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© 1987 British Society for Rheumatology

research-article

BRUCELLA ARTHRITIS AMONG IRAQI PATIENTS

ZIAD S. AL-RAWI, NAMIQ AL-KHATEEB and SALAH J. KHALIFA

Rheumatology Unit, Department of Medicine, University of Baghdad, Medical College, Medical City Hospital Baghdad, Iraq

Correspondence to: Address correspondence to Professor Z. S. Al-Rawi

The clinical features of acute Brucella arthritis were reported in a prospective study of 58 patients (29 male, 29 female). Polyarthritis occurred in 33, was migratory in ten, additive in 23 and symmetrical in ten. Monoarthritis of knee or hip joints occurred in ten patients, whilst the spine alone was involved in 15. Hip and spinal involvement was more destructive than peripheral joint involvement. Hotness, redness and joint effusions were not prominent features. Tissue-typing did not show any association with Brucella arthritis.

Treatment with various antimicrobials was followed by recovery, but the relapse rate was lowest with combined tetracycline and streptomycin.

Brucella arthritis is frequently seen in Iraq, and dairy products prepared locally from unpasteurised milk should be controlled by local health authorities.

KEY WORDS: Brucella, Peripheral arthritis, Spine, Tissue type, Treatment


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