Title
Brucellar arthritis: A study of 39 Peruvian families
Date Issued
01 December 1987
Access level
open access
Resource Type
journal article
Author(s)
Guerra J.G.
Carrillo C.
Bocanegra T.S.
Publisher(s)
BMJ Publishing Group
Abstract
A study was conducted to characterise the articular manifestation of Brucella melitensis within a family in Peru. From January 1981 to June 1986, 39 families with 232 individuals were evaluated. Brucellosis was diagnosed in 118 family members (attack rate of 50.9%). A lower attack rate was observed in children less than 10 years' old compared with other age groups (p<0.02). Complete clinical data were available in 92 of the 118 affected members. Moderate and severe forms of the diseases were more prevalent in women than in men (41.8% v 13.5%; p<0.001). Twenty eight of the 92 patients developed some brucellar complications; the articular involvement was the most prevalent (23.9%). Arthritis was also more common in women than in men (34.5% v 8.1%; p<0.01). Children appeared to have less articular involvement. Overall, the following pattern was observed: peripheral arthritis (54.5%); unilateral sacroiliitis (23.0%); mixed arthritis (4.5%), and spondylitis (9.1%). Spondylitis was seen only in the elderly with chronic brucellosis. Four patients developed extra-articular rheumatism. Within members of family groups, brucellar arthritis occurred less frequently than in individual patients from the same hospital. This suggests that many family cases were diagnosed in the early stages.
Start page
506
End page
509
Volume
46
Issue
7
Language
English
OCDE Knowledge area
ReumatologÃa
Subjects
Scopus EID
2-s2.0-0023275981
Source
Annals of the Rheumatic Diseases
ISSN of the container
00034967
Sources of information:
Directorio de Producción CientÃfica
Scopus