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CLINICAL IMAGES
Year : 2012  |  Volume : 136  |  Issue : 4  |  Page : 680

Brucellar joint involvement presented with chest pain


Sakarya University Faculty of Medicine, Department of Infectious Diseases & Clinical Microbiology, Sakarya, Turkey

Date of Web Publication8-Nov-2012

Correspondence Address:
Hasan Tahsin Gozdas
Sakarya University Faculty of Medicine, Department of Infectious Diseases & Clinical Microbiology, Sakarya
Turkey
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Source of Support: None, Conflict of Interest: None


PMID: 23168714

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How to cite this article:
Karabay O, Gozdas HT. Brucellar joint involvement presented with chest pain. Indian J Med Res 2012;136:680

How to cite this URL:
Karabay O, Gozdas HT. Brucellar joint involvement presented with chest pain. Indian J Med Res [serial online] 2012 [cited 2019 Sep 17];136:680. Available from: http://www.ijmr.org.in/text.asp?2012/136/4/680/103286

A 45-year-old male stockbreeder presented to Sakarya Medical Faculty, Infectious Diseases Department, Turkey in December 2011 with progressive left chest pain on inspiration since last four months. He also had fever (38.7 o C), sweats, chills and back pain. Suspecting  Brucellosis More Details, he underwent  Brucella More Details tube agglutination test which was found positive at 1/1280 titre. Chest X-ray was normal [Figure 1], but bone scintigraphy revealed left sternoclavicular joint (SCJ) involvement [Figure 2], [Figure 3]. With 90-day treatment of gentamicin, rifampicin and doxycycline treatment, he completely recovered. Brucellosis is an endemic zoonozis which can affect any organ or system [1],[2],[3] . Though osteoarticular involvement is common (45-60%), SCJ involvement is very rare (1-2%) [4],[5],[6] .
Figure 1: Chest X-ray of the patient shows normal findings.

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Figure 2A-B: Anterior and posterior whole body scintigraphic image showing left SCJ involvement (arrow).

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Figure 3A-D: Bone scintigraphic image showing left SCJ involvement (arrows) due to brucellosis.

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   References Top

1.Smits HL, Kadri SM. Brucellosis in India: a deceptive infectious disease. Indian J Med Res 2005; 122 : 375-84.  Back to cited text no. 1
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2.Mantur BG, Amarnath SK, Shinde RS. Review of clinical and laboratory features of human Brucellosis. Indian J Med Microbiol 2007; 25 : 188-202.  Back to cited text no. 2
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3.Tuna N, Ogutlu A, Gozdas HT, Karabay O. Pedro Pons' sign as a Brucellosis complication. Indian J Pathol Microbiol 2011; 54 : 183-4.  Back to cited text no. 3
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4.Andriopoulos P, Tsironi M, Deftereos S, Aessopos A, Assimakopoulos G. Acute brucellosis: presentation, diagnosis, and treatment of 144 cases. Int J Infect Dis 2007; 11 : 52-7.   Back to cited text no. 4
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5.Hashemi SH, Keramat F, Ranjbar M, Mamani M, Farzan A, Jamal-Omidi S. Osteoarticular complications of brucellosis in Hamedan, an endemic area in the west of Iran. Int J Infect Dis 2007; 11 : 496-500.  Back to cited text no. 5
    
6.Rahmdel K, Golsha R, Golshah E, Shirazi RR, Momtaz NS. Chest wall involvement as a manifestation of brucellosis. J Glob Infect Dis 2011; 3 : 86-8.  Back to cited text no. 6
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    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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