Brucellosis in Egyptian female patients

Abstract EN

Over six months, 129 consecutive brucellosis cases were diagnosed in females attending the outpatients’ clinics the females in Al-Azh-ar and Ain Shams Universities Hospitals.

Their ages ranged between 12-65 years old.

113 (87.6 %) gave history of raw milk consumption, 13 (10 %) gave history of home slaughtering of sheep, 2 (1.5 %) gave history of animal contact, and one patient gave history of abortion, that partner had brucellosis.

A total of 61.2 % of patients gave serum agglutination test of 1: 640, who suffered acute or sub-acute infection.

Titers of 1 : 320 (38.8 %) were found in the majority of chronic cases.

Causes of endemic parasitoids were excluded.

Symptoms were fever (79.5 %), headache (72.4 %), generalized arthralgia (65.3%), sweating (65.3 %), chills (63.8 %), backache (34.6 %), and abdominal pain (27.5 %), loss of appetite (25.5 %), lassitude (17.2%), myalgia (14.2 %), and monoa-rthralgia (7.9 %).

Spinal involvement was in 15% patients, who had chronic brucellosis.

32/35 were successfully treated with a combined-ion of streptomycin and tetracycline, 17 / 21 with streptomycin and se-print, 38 / 43 with tetracycline and septrin, and 26 / 26 (100 %) with rifampicin and tetracycline or septrin, which treated all resistant patients.