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Brucellar arthritis 

Brucellar arthritis
Chapter:
Brucellar arthritis
Source:
Oxford Textbook of Rheumatology (4 ed.)
Author(s):

Esperanza Merino

and Eliseo Pascual

DOI:
10.1093/med/9780199642489.003.0104_update_001
Previous versions of this chapter are available. To view earlier versions of this chapter view the full site here.

Joint infection is the most common local complication of brucellosis and is a frequent cause of infectious arthritis in endemic areas. Brucellosis is prevalent in countries of the Mediterranean basin, the Near East, South America, and possibly sub-Saharan Africa. Brucella melitensis and B. abortus are the most common species. Arthralgia occurs in 70% of patients with brucellosis, Large peripheral joints are a common site of localized infection. The sacroiliac joint is frequently involved (30–75%) in recent series. First-line treatment is with doxycycline combined with either streptomycin or gentamycin.

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