https://orcid.org/0000-0003-3857-685X
Dear Sir,
The article recently appeared in The Aging Male [Citation1] is very interesting in which an older person was diagnosed with brucellosis. We have a few comments regarding the management of brucellosis in this specific case.
As a famous zoonosis, brucellosis may affect every organ and system in the body. The most common involvement of the brucellosis is osteoarticular involvement [Citation2]. Sacroiliitis and lumbar spondilodiscitis are the most common forms of osteoarticular involvement which usually present as lower back pain [Citation3]. Their patient suffered from low back pain and arthralgia. In clinical examination, he also had local tenderness at the low lumbar region. Brucellosis was diagnosed in this patient, however it is not clear in the manuscript whether osteoarticular involvement was available or not. We think that this point is important, because triple antibiotics for at least 12 weeks were found to be more effective in the treatment of osteoarticular brucellosis as per the recommendations of WHO [Citation4]. However, their patient was treated with dual antibiotics for 6 weeks.
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References
- Al Hamad HK, Nadukkandiyil N, Al Husami M, et al. Brucellosis in older person: a case report from Qatar. Aging Male. 2022;25(1):266–268.
- Gozdas HT, Bal T. Brucellar epididymo-orchitis: a retrospective study of 25 cases. Aging Male. 2020;23(1):29–32.
- Tuna N, Ogutlu A, Gozdas HT, et al. Pedro pons’ sign as a brucellosis complication. Indian J Pathol Microbiol. 2011;54(1):183–184.
- Unuvar GK, Kilic AU, Doganay M. Current therapeutic strategy in osteoarticular brucellosis. North Clin Istanb. 2019;6(4):415–420.