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| Analysis of clinical data of 167 cases of brucellosis in a tertiary hospital of binzhou |
| Zhang Liguo1, Zhang Ping2, Li Dongmei1, Ding Guofeng1 |
1 Department of Infectious Diseases, Binzhou Medical University Hospital, Binzhou 256603, China;
2 Oncology Department, Binzhou People's Hospital |
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Abstract Objective The clinical data of 167 cases of brucellosis patients confirmed in a tertiary hospital in Binzhou city were analyzed to improve the diagnosis and treatment of brucellosis by clinicians.Methods Descriptive analysis was used to analyze the data of patients diagnosed with brucellosis in a tertiary hospital from January 2012 to December 2015.Results Totally 167 cases were confirmed from January 2012 to December 2015. There were 14 cases in 2012, 13 cases in 2013, and more cases in 2014 with 81 and in 2015 with 59 respectively. The highest incidence of brucellosis was from March to August, and the highest incidence was in May with the most confirmed patients. The number of patients fell month by month from September. The high-risk group was male patients over 50 years old, accounting for 29.34%, and children patients were not uncommon, with children under 10 years old accounting for 4.19%, mostly in rural areas. Most of the patients presented fever, hydrosis, and joint pain, and some patients developed splenomegaly and headaches. All of the 167 patients completed the tiger red plate agglutination test and all were positive. Adults were treated with doxycycline, rifampicin capsule and levofloxacin, while children were treated with rifampicin and sulfamethoxazole for 8 weeks. Symptoms disappeared completely in 161 cases (96.41%), improved in 6 cases (3.59%), and the total effective rate was 100.00%.Conclusion The clinical manifestations of brucellosis are various, and patients with atypical symptoms are easy to be misdiagnosed. Children should be paid more attention.
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Received: 17 April 2018
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