A case of acute brucellosis associated with HIV infection in Turkey
Human brucellosis is a common public health problem in Turkey. Human immunodeficiency virus (HIV)-positive patients are vulnerable to co-infections and super-infections due to targeting the immune system. Because opportunistic infections are considered primarily, it is very difficult to detect co-in...
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| Language: | English |
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Termedia Publishing House
2024-11-01
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| Series: | HIV & AIDS Review. International Journal of HIV-Related Problems |
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| Online Access: | https://hivaids.termedia.pl/A-case-of-acute-brucellosis-associated-with-HIV-infection-in-Turkey,158011,0,2.html |
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| author | Fatma Yekta Urkmez Sevil Alkan |
| author_facet | Fatma Yekta Urkmez Sevil Alkan |
| author_sort | Fatma Yekta Urkmez |
| collection | DOAJ |
| description | Human brucellosis is a common public health problem in Turkey. Human immunodeficiency virus (HIV)-positive patients are vulnerable to co-infections and super-infections due to targeting the immune system. Because opportunistic infections are considered primarily, it is very difficult to detect co-infections, especially Brucella spp., in this patient group. In addition, non-specific clinical findings of brucellosis make diagnosis difficult. In this report, an HIV-positive patient with acute brucellosis was described. A 28-year-old male patient receiving antiretroviral therapy was admitted to the hospital with complaints of high fever and myalgia for the last two weeks. Physical examination revealed enlargement of bilateral cervical lymph nodes and enlargement of bilateral inguinal lymph nodes. Primarily, opportunistic infections were investigated in this patient. Brucella spp. was detected in blood cultures taken due to high fever. Subsequently, the patient was diagnosed with brucellosis. We presented this case report with the purpose of drawing more attention to the clinical diagnosis of brucellosis. In addition, we recommend that clinicians should be more cautious about fever of unknown origin in HIV-positive patients, especially in regions where brucellosis is endemic. In the presence of newly developing fever and lymphadenopathy in HIV-infected individuals, opportunistic infections as well as other infectious diseases, including brucellosis, should be considered. |
| format | Article |
| id | doaj-art-1fca7506b42642fa9277a32e8df78970 |
| institution | Kabale University |
| issn | 1730-1270 1732-2707 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | HIV & AIDS Review. International Journal of HIV-Related Problems |
| spelling | doaj-art-1fca7506b42642fa9277a32e8df789702025-01-27T11:06:40ZengTermedia Publishing HouseHIV & AIDS Review. International Journal of HIV-Related Problems1730-12701732-27072024-11-0123436136610.5114/hivar/158011158011A case of acute brucellosis associated with HIV infection in TurkeyFatma Yekta Urkmez0https://orcid.org/0000-0002-5438-4623Sevil Alkan1https://orcid.org/0000-0003-1944-2477Department of Infectious Diseases and Clinical Microbiology, Kirikkale Yuksek Ihtisas Hospital, Kirikkale, TurkeyDepartment of Infectious Diseases and Clinical Microbiology, Canakkale Onsekiz Mart University School of Medicine, Canakkale, TurkeyHuman brucellosis is a common public health problem in Turkey. Human immunodeficiency virus (HIV)-positive patients are vulnerable to co-infections and super-infections due to targeting the immune system. Because opportunistic infections are considered primarily, it is very difficult to detect co-infections, especially Brucella spp., in this patient group. In addition, non-specific clinical findings of brucellosis make diagnosis difficult. In this report, an HIV-positive patient with acute brucellosis was described. A 28-year-old male patient receiving antiretroviral therapy was admitted to the hospital with complaints of high fever and myalgia for the last two weeks. Physical examination revealed enlargement of bilateral cervical lymph nodes and enlargement of bilateral inguinal lymph nodes. Primarily, opportunistic infections were investigated in this patient. Brucella spp. was detected in blood cultures taken due to high fever. Subsequently, the patient was diagnosed with brucellosis. We presented this case report with the purpose of drawing more attention to the clinical diagnosis of brucellosis. In addition, we recommend that clinicians should be more cautious about fever of unknown origin in HIV-positive patients, especially in regions where brucellosis is endemic. In the presence of newly developing fever and lymphadenopathy in HIV-infected individuals, opportunistic infections as well as other infectious diseases, including brucellosis, should be considered.https://hivaids.termedia.pl/A-case-of-acute-brucellosis-associated-with-HIV-infection-in-Turkey,158011,0,2.htmlhivbrucellosisconcomitantco-infectionturkey |
| spellingShingle | Fatma Yekta Urkmez Sevil Alkan A case of acute brucellosis associated with HIV infection in Turkey HIV & AIDS Review. International Journal of HIV-Related Problems hiv brucellosis concomitant co-infection turkey |
| title | A case of acute brucellosis associated with HIV infection in Turkey |
| title_full | A case of acute brucellosis associated with HIV infection in Turkey |
| title_fullStr | A case of acute brucellosis associated with HIV infection in Turkey |
| title_full_unstemmed | A case of acute brucellosis associated with HIV infection in Turkey |
| title_short | A case of acute brucellosis associated with HIV infection in Turkey |
| title_sort | case of acute brucellosis associated with hiv infection in turkey |
| topic | hiv brucellosis concomitant co-infection turkey |
| url | https://hivaids.termedia.pl/A-case-of-acute-brucellosis-associated-with-HIV-infection-in-Turkey,158011,0,2.html |
| work_keys_str_mv | AT fatmayektaurkmez acaseofacutebrucellosisassociatedwithhivinfectioninturkey AT sevilalkan acaseofacutebrucellosisassociatedwithhivinfectioninturkey AT fatmayektaurkmez caseofacutebrucellosisassociatedwithhivinfectioninturkey AT sevilalkan caseofacutebrucellosisassociatedwithhivinfectioninturkey |