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Serum annexin A2 levels in acute brucellosis and brucellar spondylodiscitis

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European Journal of Clinical Microbiology & Infectious Diseases Aims and scope Submit manuscript

Abstract

Brucellosis is a chronic granulomatous infection and may present with various clinical manifestations. Brucellar spondylodiscitis symptoms are initially subtle and nonspecific. Annexin A2 (ANXA2) is involved in various biological functions, including osteoclast formation, bone resorption, and cell growth regulation. In this study, we aimed to determine the clinical significance of serum ANXA2 levels in acute brucellosis and brucellar spondylodiscitis. This prospective study included 96 acute brucellosis patients and 51 healthy controls. Acute brucellosis was diagnosed by a 1/160 or higher titer in a standard tube agglutination (STA) test or a four-fold increase in titers between two STA tests performed two weeks apart in the presence of clinical symptoms within the last eight weeks and/or growth of Brucella spp. in appropriately prepared culture media. ANXA2 levels were determined with an enzyme-linked immunosorbent assay (ELISA). Forty (41.7 %) of 96 acute brucellosis patients were male and 56 (58.3 %) were female. Serum ANXA2 levels were elevated in patients compared to healthy controls (p = 0.001). Eighteen of 96 (18.7 %) acute brucellosis patients had brucellar spondylodiscitis. The serum ANXA2 levels of patients with brucellar spondylodiscitis were higher than those of patients with acute disease without brucellar spondylodiscitis (p = 0.001). ANXA2, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR) values were elevated in the brucellar spondylodiscitis group compared to patients without brucellar spondylodiscitis. Serum ANXA2 measurement together with ESR and CRP is thought to be indicative in the diagnosis of brucellar spondylodiscitis, a common complication of brucellosis.

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Acknowledgments

The authors would like to express their gratitude to the Adiyaman University Biochemistry Laboratory staff.

Authorship

Nazlim Aktug Demir and Servet Kolgelier participated in obtaining the kits used in this study, collecting the data, and writing the paper. Sua Sumer, Ahmet Cagkan Inkaya, Serap Ozcimen, and Onur Ural collected the serum samples, stored the samples, interpreted the findings, and obtained the serum samples of the controls. Abdullah Arpaci investigated the biochemical parameters of the serum of the patients and the control group. Lutfi Saltuk Demir conducted the statistical evaluations.

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There is no financial or material support for this research and work.

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The authors have no financial interests related to the material in the manuscript.

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Authors and Affiliations

  1. Department of Infectious Diseases and Clinical Microbiology, Selcuk University, Faculty of Medicine, Konya, Turkey

    N. Aktug Demir, S. Sumer & O. Ural

  2. Department of Infectious Diseases and Clinical Microbiology, Adiyaman University, Faculty of Medicine, Adiyaman, Turkey

    S. Kolgelier

  3. Department of Infectious Diseases and Clinical Microbiology, Hacettepe University, Faculty of Medicine, Ankara, Turkey

    A. C. Inkaya

  4. Department of Infectious Diseases and Clinical Microbiology, Konya State Hospital, Konya, Turkey

    S. Ozcimen

  5. Department of Public Health, Necmettin Erbakan University, Faculty of Medicine, Konya, Turkey

    L. S. Demir

  6. Department of Biochemistry, Adiyaman University, Faculty of Medicine, Adiyaman, Turkey

    A. Arpaci

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  1. N. Aktug Demir
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  2. S. Kolgelier
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  3. S. Sumer
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  4. A. C. Inkaya
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  6. L. S. Demir
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  7. O. Ural
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  8. A. Arpaci
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Correspondence to S. Sumer.

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Aktug Demir, N., Kolgelier, S., Sumer, S. et al. Serum annexin A2 levels in acute brucellosis and brucellar spondylodiscitis. Eur J Clin Microbiol Infect Dis 33, 1855–1859 (2014). https://doi.org/10.1007/s10096-014-2155-2

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  • DOI: https://doi.org/10.1007/s10096-014-2155-2

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