How does Brucella arthritis do?

summary

This disease is an acute infection caused by Brucella. Brucella is a small Gram-negative bacterium, which is transmitted to people through animals. The patient presented with back and limb pain and fever symptoms. A few weeks before the onset of arthritis, patients have headache, fatigue, sweating and other systemic symptoms. The involved joints showed swelling, pain, fever, erythema, and exudation. How does that get Brucella sex arthritis to do?

How does Brucella arthritis do?

Brucellosis can be an acute and self limiting disease. Joint pain lasts for several days, and arthritis subsides after several weeks without sequelae. It can also be a chronic and infectious disease. It needs to be treated with antibiotics. Chronic or recurrent brucellosis is often caused by Brucella maltophilia. Infection is common in a single joint or a small number of asymmetric peripheral joints, knee, hip, shoulder are the most common sites, followed by sacroiliac, wrist, ankle, elbow, and can also invade the spine. Sacroiliac joint is common in unilateral, some patients have both peripheral arthritis and spondyloarthropathy. The patient had back and limb pain and fever symptoms. A few weeks before the onset of arthritis, patients have headache, fatigue, sweating and other systemic symptoms. The involved joints were characterized by swelling, pain, fever, erythema and exudation. The heat type is wave heat, sometimes relaxation heat or intermittent heat.

Brucella needs complex growth conditions, so the positive rate of synovial fluid culture is only 50% - 65%. The total number of leukocytes in synovial fluid was 10 × 109/L～50 × 109 / L, more monocytes. The most common serological test is agglutination test. Enzyme linked immunosorbent assay (ELISA) may be more accurate. Complement binding test and 2-mercaptoethanol test are often used to diagnose chronic brucellosis.

Most of Brucella are digested after entering the body through digestive tract, and a few propagate in lymph, bone marrow and spleen. Brucella is a small polymorphous globular bacterium, gram negative. It is transmitted to people through sheep, cattle, pigs, dogs, etc. Pathogenic bacteria mainly exist in the tissues, urine, milk and fetus of sick animals. Most of them enter the human body through the mouth, and can also invade the body from the damaged skin and respiratory mucosa. It is easy to be infected with Brucella when eating milk and cheese that have not been pasteurized. Workers and veterinarians who come into contact with livestock and meat are susceptible groups.

matters needing attention

1. Eliminate and reduce or avoid the risk factors, improve the living environment, develop good living habits, prevent infection, pay attention to food hygiene, reasonable diet allocation. 2. Pay attention to exercise, increase the body's disease resistance, don't over fatigue, over consumption, quit smoking and alcohol. 3. Early detection, early diagnosis and early treatment, build up the confidence to overcome the disease and persist in treatment. 4. Milk and cheese should be disinfected by Pasteur method, and workers, veterinarians and other susceptible people who come into contact with livestock and meat should be protected.