Özet:

Brussels is still a common disease in developing countries. Brusella infection is endemic in the eastern and south-eastern regions of Turkey. About 18,000 new cases are detected annually in our country. Brussels is a common disease. Many organs or systems can be retained. It can rarely cause hepatitis infections in the gastrointestinal system. In this article, we also present a phenomenon of acute hepatitis associated with brusella that we follow in our child clinic. The fourteenth-year-old male patient was infected due to common muscle pain, impotence, weight loss, high fever and vomiting. In the physical examination, the skin, sclerosis and mucous membranes were ikteric, the liver was 4-5 cm palpable. In the laboratory study, AST: 1310 U/L, ALT: 682 U/L, GGT: 744 U/L, ALP: 402 U/L, total bilirubin: 4.2 mg/dL, direct bilirubin: 1.9 mg/dL. The viral markers were negative. Brusella tube aglutination test is positive (1/320) and in the blood culture is Brucella spp. The patient was treated with streptomycin and docysiclin. On the third day of treatment, clinical response was received. On the 21st day of treatment, the patient with normal AST, ALT and bilirubin values was removed and treatment was completed in 8 weeks. The objective of the presentation of the case is to emphasize the importance of brusellosis in the diagnosis of acute hepatitis in areas where brusella infection is endemic, such as our country.

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