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A long term study of 22 children with brucellar arthritis.

Brucellar arthritis remains a serious a problem in Mediterranean countries. In the pediatric group it has not received enough attention. We have analysed the clinical features of 22 children followed in a large hospital for the last 10 years. Fever (68%), malaise (50%), myalgia (18%) and abdominal pain (14%) were the most common systemic symptoms. Three different patterns of arthritis were observed: acute (45%), chronic (41%) and recurrent (14%). Monoarthritis (45%) with hip involvement was very common. Response to treatment with large doses of cotrimoxazol for a long period of time was good. No toxicity was observed.