SERUM LEVEL OF SOLUBLE INTERLEUKIN-2 RECEPTOR ALPHA AS A PREDICTOR OF TREATMENT RESPONSE IN BRUCELLOSIS

Authors3. Kahbazi M, Rezapour H, Jafari F, Arjomandzadegan M, Sofian M, Zarinfar N, Sarmadiayan H, Najmi AR
JournalJournal of Ayub Medical College Abbottabad
Page number44-46
Serial number2
Volume number24
Paper TypeFull Paper
Published At2012-6-1
Journal GradeISI
Journal TypeTypographic
Journal CountryPakistan

Abstract

Introduction: Iran is one of the endemic regions with high prevalence of brucellosis. Several
serological markers for diagnosis and response to treatment are available. Serum level of Soluble
Interleukin-2 Receptor alpha (SIL-2R) is a new marker to assess response to therapy and clinical
relapse of brucellosis. This study intends to investigate the serum levels of SIL-2R before and
after treatment, to evaluate this marker for patients responding to treatment of brucellosis.
Methods: This study is an analytical cross-sectional study. Forty patients who had clinical signs of
brucellosis and serological tests confirmed the disease have been treated with standard antibiotics
for 6 weeks. 2ME and SIL-2R levels were measured before and after treatment and these values
were compared. Results: Among the 40 patients, 27 patients (67.5%) had improvement in
symptoms and 13 patients (32.5%) had no symptoms after treatment. In Comparing serum levels of
SIL-2R and 2ME before and after treatment, decreasing of both markers after treatment was
significant (p<0.001). In patients with false positive for 2ME, SIL-2R in 57% of patients had a
reduction, but in patients with false negative for 2ME, SIL-2R in only 28% of patients increased.
Conclusion: Not only is Serum level of SIL-2R useful for predicting response to treatment of
brucellosis, but also in cases of false positive of 2ME can be helpful.
Keywords: Brucellosis, SIL-2R, 2ME

 

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tags: Brucellosis, SIL-2R, 2ME