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Acute brucellosis in Saudi families: Relationship between brucella serology and clinical symptoms

机译:沙特阿拉伯家庭的急性布鲁氏菌病:布鲁氏菌血清学与临床症状之间的关系

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SummaryObjective: To determine if screening family members of patients with acute brucellosis will enhance the detection rate of brucellosis and also to determine the relationship between symptoms and brucella serology.Materials and methods: Family members from patients with acute brucellosis were interviewed and serologically screened. All seropositive family members were clinically and serologically followed for six months.Results: Twenty-five acute brucellosis patients and their 178 family members were enrolled from January 2001 to February 2002. Of the 178 family members, 40 (23%) manifested various symptoms, 138 (77%) were asymptomatic, with an overall seroprevalence rate of 34 (19%). The rate of seropositivity among the symptomatic family members was 23 (58%) and for the asymptomatic was 11 (8%) (P?
机译:摘要目的:确定对急性布鲁氏菌病患者的家属进行筛查是否会提高布鲁氏菌病的检出率,并确定症状与布鲁氏菌病血清学之间的关系。材料和方法:对来自急性布鲁氏菌病患者的家属进行了访谈和血清学筛查。结果:从2001年1月至2002年2月,对25例急性布鲁氏菌病患者及其178名家庭成员进行了临床和血清学随访,所有血清反应阳性的家庭成员均接受了6个月的随访。在这178名家庭成员中,有40名(23%)表现出各种症状, 138例(77%)无症状,总体血清阳性率34例(19%)。有症状的家庭成员的血清反应阳性率为23(58%),而无症状的家庭为11(8%)(P <0.001)。与无症状组的一例(9%)相比,大多数有症状的家族成员(13例(57%))的布鲁氏菌滴度高(P <0.001)。在有症状的血清阳性家庭成员中有18名(78%)和在无症状的血清阳性家庭中有4名(36%)被诊断为急性布鲁氏菌病,急性布鲁氏菌病患病率为22(12%)。所有患有急性感染的家庭成员均康复,没有后遗症;一名患者复发(5%)。结论:与无症状成员相比,有症状的家庭成员更容易出现血清阳性。

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