Abstract

The average age of patients with BS was 52.29 ± 9.46 years, comprising 136 males and 31 females. Risk factors for BS include close contact with cattle and sheep and consumption of unpasteurized food. The positive detection rate using combined Rose Bengal Test (RBT) and Standard Agglutination Test (SAT) was 94.6%, whereas the positive rate for blood culture was only 7.8%. The most common clinical manifestations were fever (81.4%), back pain (88.6%), sweating (61.1%), fatigue (69.5%), and anorexia (65.3%). Hematological examinations often revealed decreased hemoglobin (18.0%), increased platelets (18.0%), elevated erythrocyte sedimentation rate (ESR) (88.0%), elevated C-reactive protein (CRP) (78.4%), elevated Alanine aminotransferase (ALT) (18.6%), and decreased K+(23.4%). The imaging examinations revealed that the lumbar spine, particularly L4/5 (41.3%), is the most frequently affected vertebral level in BS. After treatment, the overall recurrence rate was 3.0%. In endemic areas, clinicians should be vigilant for BS in patients presenting with back pain and unexplained fever, particularly those with a history of close contact with cattle and sheep. The RBT and SAT tests show a high positivity rate of 94.6%, establishing them as the preferred diagnostic methods. This study enhances clinicians’ comprehension of BS characteristics and lays a robust theoretical groundwork for disease prevention and monitoring.

Details

Title
Epidemiology and laboratory testing of Brucella spondylitis
Author
Lu, Yan-peng 1 ; Qiu, Wei-qi 2 ; Zhang, Tao 3 ; Cheng, Qian-xi 2 ; Wang, Yi-zhe 1 ; Chen, Long 1 ; Huang, Da-shuai 1 ; Tan, Xing-guo 1 ; Li, Song-kai 1 

 The 940th Hospital of Joint Logistics Support Force of Chinese PLA, Department of Spine Surgery, Lanzhou, China; University of Chinese Medical, The First School of Clinical Medical of Gansu, Lanzhou, China 
 University of Chinese Medical, The First School of Clinical Medical of Gansu, Lanzhou, China 
 The 940th Hospital of Joint Logistics Support Force of Chinese PLA, Department of Spine Surgery, Lanzhou, China 
Pages
26345
Publication year
2024
Publication date
2024
Publisher
Nature Publishing Group
e-ISSN
20452322
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3123173228
Copyright
© The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.