Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Brucellosis natural history, complications and prognosis
Introduction
Overview
Overview
If left untreated, patients with brucellosis may progress to develop focal organ complications, relapses or chronic brucellosis.[1] Common complications of brucellosis include granulomatous hepatitis, arthritis, sacroiliitis, meningitis, orchitis, epididymitis uveitis, and endocarditis. The prognosis of brucellosis is good with adequate treatment.
Natural History
Natural History
If left untreated, patients with brucellosis may progress to develop focal organ involvement, relapses and chronic brucellosis.[2]
Complications
Complications
Complications of brucellosis include the following:[3][4][5][6][7][8][9][10][11]
| Complications of Brucellosis | |
|---|---|
| Osteoarticular |
|
| Cardiovascular |
|
| Hepatobiliary complications |
|
| Genitourinary | Orchitis and epididymitis
|
| Neurological |
|
| Gastrointestinal | Colitis, ileitis, and spontaneous bacterial peritonitis.
|
| Respiratory tract | |
| Pregnancy | Spontaneous abortion |
| Cutaneous |
|
| Opthalmic | Uveitis
|
Prognosis
Prognosis
The prognosis of brucellosis is good with treatment. Mortality is less then 1%, usually due to consequence of cardiac involvement or severe neurologic disease.[13]
Reference
Reference
- ↑ Brucellosis. CDC. http://wwwnc.cdc.gov/travel/yellowbook/2016/infectious-diseases-related-to-travel/brucellosis. Accessed on February 3, 2016
- ↑ Brucellosis. CDC. http://wwwnc.cdc.gov/travel/yellowbook/2016/infectious-diseases-related-to-travel/brucellosis. Accessed on February 3, 2016
- ↑ Colmenero JD, Reguera JM, Martos F, Sánchez-De-Mora D, Delgado M, Causse M; et al. (1996). “Complications associated with Brucella melitensis infection: a study of 530 cases”. Medicine (Baltimore). 75 (4): 195–211. PMID 8699960.
- ↑ Mantur BG, Amarnath SK, Shinde RS (2007). “Review of clinical and laboratory features of human brucellosis”. Indian J Med Microbiol. 25 (3): 188–202. PMID 17901634.
- ↑ Overturf ML, Druihet RE, Fitz A (1979). “The effects of kallikrein, plasmin, and thrombin on hog kidney renin”. J Biol Chem. 254 (23): 12078–83. PMID 159304.
- ↑ Doganay M, Aygen B. Human brucellosis: An overview. Int J Infect Dis 2003; 7:173.
- ↑ Young EJ (1995). “Brucellosis: current epidemiology, diagnosis, and management”. Curr Clin Top Infect Dis. 15: 115–28. PMID 7546364.
- ↑ Zamani A, Kooraki S, Mohazab RA, Zamani N, Matloob R, Hayatbakhsh MR; et al. (2011). “Epidemiological and clinical features of Brucella arthritis in 24 children”. Ann Saudi Med. 31 (3): 270–3. doi:10.4103/0256-4947.81543. PMC 3119967. PMID 21623056.
- ↑ Mousa AM, Bahar RH, Araj GF, Koshy TS, Muhtaseb SA, al-Mudallal DS; et al. (1990). “Neurological complications of brucella spondylitis”. Acta Neurol Scand. 81 (1): 16–23. PMID 2330811.
- ↑ Pappas G, Bosilkovski M, Akritidis N, Mastora M, Krteva L, Tsianos E (2003). “Brucellosis and the respiratory system”. Clin Infect Dis. 37 (7): e95–9. doi:10.1086/378125. PMID 13130417.
- ↑ Herrick JA, Lederman RJ, Sullivan B, Powers JH, Palmore TN (2014). “Brucella arteritis: clinical manifestations, treatment, and prognosis”. Lancet Infect Dis. 14 (6): 520–6. doi:10.1016/S1473-3099(13)70270-6. PMC 4498663. PMID 24480149.
- ↑ FAO/WHO/OIE Brucellosis in humans and animals. WHO (2006). http://www.who.int/csr/resources/publications/Brucellosis.pdf Accessed on February 3, 2016
- ↑ Brucellosis “Dennis Kasper, Anthony Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson, Joseph Loscalzo”Harrison’s Principles of Internal Medicine, 19e Accessed on December 9th, 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2] Danitza LukacVishal Devarkonda, M.B.B.S[3]