Highly elevated adenosine deaminase level in brucellar pleural effusion

Akdeniz, Hayrettin; KARAHOCAGİL, Mustafa Kasım; KIARIKÇI, Aziz Dursun; SERTOĞULLARI, Bünyamin; KARSEN, HASAN

Highly elevated adenosine deaminase level in brucellar pleural effusion

Mustafa Kasım KARAHOCAGİL, (Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Van, Türkiye)

Hayrettin AKDENİZ, (Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Van, Türkiye)

Aziz Dursun KIARIKÇI, (Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Van, Türkiye)

Hasan KARSEN, (Yüzüncü Yıl Üniversitesi, Hakkari, Türkiye)

Bünyamin SERTOĞULLARI (Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Van, Türkiye)

Turkish Journal of Medical Sciences

2 0

Yıl: 2008 Cilt: 38 Sayı: 1 Sayfa Aralığı: 73 - 76 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Highly elevated adenosine deaminase level in brucellar pleural effusion

Öz:

Bruselloza bağlı plevral tutulum oldukça nadir bir tutulumdur. Literatürde sadece birkaç plevral tutulumla seyreden olgu sunumu mevcuttur. Bu olgu sunusunda exudadif pleural sıvısı olan ve lenfosit hakimiyeti ve adenozin deaminaz yüksekliği nedeniyle tüberküloz plörezi düşünülen, ancak serolojik ve kültür yöntemleriyle brusella plörezi tanısı konulan bir olgu sunuldu. Sonuç olarak tüberküloz ve brusellozun endemik olarak görüldüğü bölgelerde plörezilerin ayırıcı tanısında ADA yüksekliğinden çok rutin serolojik ve bakteriyolojik yöntemlerin daha önemli olduğu anlaşılmaktadır.

Anahtar Kelime: Brucella melitensis Plevral efüzyon Adenozin deaminaz

Konular: Cerrahi

Brusellar plevral efüzyonda çok yüksek adenozin deaminaz seviyesi

Öz:

Pleural involvement is a rare presentation of brucellosis. There are only a few case reports in the literature presenting with pleural involvement due to brucellosis. In this report, we present a case with exudative pleural fluid first considered as tuberculous pleurisy due to lymphocyte predominance and elevated level of pleural adenosine deaminase, but later diagnosed as brucella pleurisy with positive serologic and microbiologic test results. In conclusion, in the differential diagnosis of pleurisies, routine serologic and bacteriologic methods appear to be more important than pleural adenosine deaminase elevation, especially in regions endemic for both tuberculosis and brucellosis.

Anahtar Kelime: Brucella melitensis Pleural Effusion Adenosine Deaminase

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Young EJ. Brucella species. In: Mandell GL, Douglas RG, Dolin R, editors. Principles and Practice of Infectious Diseases, 5th ed.. New York: Churchill Livingstone; 2000. pp. 2386-93.
2. Colmenero JD, Reguera JM, Martos F, Sanchez-De-Mora D, Delgado M, Causse M et al. Complications associated with Brucella melitensis infection: a study of 530 cases. Medicine 1996; 75: 195-211.
3. Dikensoy O, Namiduru M, Hocaoglu S, Ikidag B, Filiz A. Increased pleural fluid adenosine deaminase in brucellosis is difficult to differentiate from tuberculosis. Respiration. 2002; 69: 556-9.
4. Zengi A, Elmas F, Tasbakan M, Basoglu OK, Ozhan MH. Exudative pleural effusion due to brucellosis in a patient with chronic obstructive pulmonary disease. Trop Doct 2006; 36: 253-4.
5. Lubani MM, Lulu AR, Araj GF, Khateeb MI, Qurtom MA, Dudin KI. Pulmonary brucellosis. Q J Med 1989; 71: 319-24.
6. Kerem E, Diav 0, Navon P, Branski D. Pleural fluid characteristics in pulmonary brucellosis. Thorax 1994; 49: 89-90.
7. Hatipoglu CA, Bilgin G, Tulek N, Koşar U. Pulmonary involvement in brucellosis. J Infect 2005; 51: 116-9.
8. Lulu AR, Arab GR, Khateeb MI, Mustafa MY, Yusuf AR, Fenech FF. Human brucellosis in Kuwait: a prospective study of 400 cases. Q J Med 1988; 66: 39-54.
9. Papiris SA, Maniati MA, Haritou A, Constantopoulous SH. Brucella haemorrhagic pleural effusion. Eur Respir J 1994; 7: 1369-70.
10. Al-Anazi AR, Aziz S, Fouda MA. Brucellosis: haemorrhagic pleural effusion. Med Princ Pract2005; 14: 118-20.
11. Takahashi H, Tanaka S, Yoshida K, Hoshino H, Sasaki H, Takahashi K et al. An unusual case of brucellosis in Japan: difficulties in the differential diagnosis from pulmonary tuberculosis. Intern Med 1996; 35: 310-4.
12. Viciana P, Lama C, Pachon J, Rey C, Cisneros JM, Cuello JA. Activity of adenosine deaminase in acute brucellosis and complicated brucellosis. Med Clin 1991; 96: 445-58.

APA	KARAHOCAGİL M, Akdeniz H, KIARIKÇI A, KARSEN H, SERTOĞULLARI B (2008). Highly elevated adenosine deaminase level in brucellar pleural effusion. , 73 - 76.
Chicago	KARAHOCAGİL Mustafa Kasım,Akdeniz Hayrettin,KIARIKÇI Aziz Dursun,KARSEN HASAN,SERTOĞULLARI Bünyamin Highly elevated adenosine deaminase level in brucellar pleural effusion. (2008): 73 - 76.
MLA	KARAHOCAGİL Mustafa Kasım,Akdeniz Hayrettin,KIARIKÇI Aziz Dursun,KARSEN HASAN,SERTOĞULLARI Bünyamin Highly elevated adenosine deaminase level in brucellar pleural effusion. , 2008, ss.73 - 76.
AMA	KARAHOCAGİL M,Akdeniz H,KIARIKÇI A,KARSEN H,SERTOĞULLARI B Highly elevated adenosine deaminase level in brucellar pleural effusion. . 2008; 73 - 76.
Vancouver	KARAHOCAGİL M,Akdeniz H,KIARIKÇI A,KARSEN H,SERTOĞULLARI B Highly elevated adenosine deaminase level in brucellar pleural effusion. . 2008; 73 - 76.
IEEE	KARAHOCAGİL M,Akdeniz H,KIARIKÇI A,KARSEN H,SERTOĞULLARI B "Highly elevated adenosine deaminase level in brucellar pleural effusion." , ss.73 - 76, 2008.
ISNAD	KARAHOCAGİL, Mustafa Kasım vd. "Highly elevated adenosine deaminase level in brucellar pleural effusion". (2008), 73-76.

APA	KARAHOCAGİL M, Akdeniz H, KIARIKÇI A, KARSEN H, SERTOĞULLARI B (2008). Highly elevated adenosine deaminase level in brucellar pleural effusion. Turkish Journal of Medical Sciences, 38(1), 73 - 76.
Chicago	KARAHOCAGİL Mustafa Kasım,Akdeniz Hayrettin,KIARIKÇI Aziz Dursun,KARSEN HASAN,SERTOĞULLARI Bünyamin Highly elevated adenosine deaminase level in brucellar pleural effusion. Turkish Journal of Medical Sciences 38, no.1 (2008): 73 - 76.
MLA	KARAHOCAGİL Mustafa Kasım,Akdeniz Hayrettin,KIARIKÇI Aziz Dursun,KARSEN HASAN,SERTOĞULLARI Bünyamin Highly elevated adenosine deaminase level in brucellar pleural effusion. Turkish Journal of Medical Sciences, vol.38, no.1, 2008, ss.73 - 76.
AMA	KARAHOCAGİL M,Akdeniz H,KIARIKÇI A,KARSEN H,SERTOĞULLARI B Highly elevated adenosine deaminase level in brucellar pleural effusion. Turkish Journal of Medical Sciences. 2008; 38(1): 73 - 76.
Vancouver	KARAHOCAGİL M,Akdeniz H,KIARIKÇI A,KARSEN H,SERTOĞULLARI B Highly elevated adenosine deaminase level in brucellar pleural effusion. Turkish Journal of Medical Sciences. 2008; 38(1): 73 - 76.
IEEE	KARAHOCAGİL M,Akdeniz H,KIARIKÇI A,KARSEN H,SERTOĞULLARI B "Highly elevated adenosine deaminase level in brucellar pleural effusion." Turkish Journal of Medical Sciences, 38, ss.73 - 76, 2008.
ISNAD	KARAHOCAGİL, Mustafa Kasım vd. "Highly elevated adenosine deaminase level in brucellar pleural effusion". Turkish Journal of Medical Sciences 38/1 (2008), 73-76.