Evaluation of childhood XXXX in the central Black Sea region.

@entity1 @entity3377 @entity625 @entity233 @entity417 @entity882 @entity571 @entity11570 @entity166 @entity381 @entity1431 @entity382 @entity4841 @entity221
Brucellosis is a systemic @entity166 that leads to various clinical pictures and is still a significant health problem in @entity233 . In this study, 52 pediatric @entity1 diagnosed with @entity3377 between January 2008 and December 2013 were examined. Clinical and laboratory findings, response to treatment, prognosis and complications were evaluated. Diagnosis of @entity3377 was made based on a clinical picture compatible with the disease, together with standard tube agglutination test (SAT) positivity (1/160 or higer titer) or isolation of Brucella spp. in a sterile body fluid culture. The cases comprised 10 females and 42 males. In 75% of cases, there was a history of consumption of unpasteurized milk or dairy products. The most commonly seen symptoms and findings were @entity221 (75%), @entity4841 (54%), fatigue (19%), @entity381 (44%), @entity382 (42%) and @entity625 (19%). Atypical presentations were seen in one case of epidydymo- @entity11570 and three cases of bleeding of the nose and gums. In the laboratory examinations, @entity417 was determined in 56% of cases, @entity1431 in 40% and @entity882 in 27%. In blood cultures taken from 41 @entity1 , Brucella spp. were isolated in 23 (56.1%). All @entity1 recovered, and sequelae were seen only in a @entity1 with @entity571 . In conclusion, although @entity3377 leads to many different clinical pictures, a very good response to treatment can be obtained. If effective treatment cannot be implemented in time, the disease may become chronic, and complications and relapses may be encountered. Therefore, early diagnosis and treatment is of great importance.
