Tekin Recep, Ceylan Tekin Figen, Ceylan Tekin Rojbin, Cevik Remzi
Department of Infectious Disease and Clinical Microbiology, School of Medicine, Dicle University, Diyarbakir, Turkey.
Department of Physical Medicine and Rehabilitation, Diyarbakir State Hospital, Diyarbakir, Turkey.
Infez Med. 2015 Sep;23(3):257-60.
Osteoarticular involvement is the most frequently observed complication of brucellosis. Brucellosis tenosynovitis of the extensor tendon sheath is an extremely rare manifestation of musculoskeletal brucellosis. A 36-year-old male patient presented with described pain in his right wrist that had started six days earlier. There was also a diffuse swelling in the first finger of his right hand. The patient described fever, night sweats, widespread muscle pain and fatigue that had been going on for the last six days. Standard tube agglutination for Brucella was positive at a titre of 1/320. At diagnosis, the patient showed radiographic abnormalities. Doxycycline 200 mg/d and rifampicin 600 mg/d were given for six weeks. Complete resolution was achieved with medical treatment.
骨关节受累是布鲁氏菌病最常观察到的并发症。伸肌腱鞘的布鲁氏菌病腱鞘炎是肌肉骨骼布鲁氏菌病极其罕见的表现。一名36岁男性患者出现右腕疼痛，该疼痛于6天前开始。其右手食指也有弥漫性肿胀。患者自述在过去6天里一直发热、盗汗、全身肌肉疼痛和疲劳。布鲁氏菌标准试管凝集试验滴度为1/320时呈阳性。诊断时，患者显示出影像学异常。给予强力霉素200mg/d和利福平600mg/d，持续6周。通过药物治疗实现了完全缓解。
