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. 2016:2016:4687840.
doi: 10.1155/2016/4687840. Epub 2016 Apr 21.

Brucella Septic Arthritis: Case Reports and Review of the Literature

Fatehi Elnour Elzein  1 , Nisreen Sherbeeni  1
Affiliations

Brucella Septic Arthritis: Case Reports and Review of the Literature

Fatehi Elnour Elzein et al. Case Rep Infect Dis. 2016.

Abstract

Brucellosis is one of the commonest zoonotic infections worldwide. The disease is endemic in Saudi Arabia, the Middle East, and the Mediterranean area. Osteoarticular involvement is a frequent manifestation of brucellosis. It tends to involve the sacroiliac joints more commonly; however, spondylitis and peripheral arthritis are increasingly reported. Brucellosis can be overlooked especially in the presence of companion bacteria. Hence, it should be suspected in all patients with septic arthritis in endemic areas or in patients visiting such areas.

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Figures

Figure 1
Figure 1
Moderate (L) knee joint effusion with OA.
Figure 2
Figure 2
US of (R) ankle showing moderate effusion (3.8 cc).
Figure 3
Figure 3
MRI showing a large (R) ankle effusion with tibialis posterior tenosynovitis.
Figure 4
Figure 4
CT scan with moderate to large joint effusion of the (R) knee with associated synovial thickening and OA.
See this image and copyright information in PMC

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