SUCCESSFUL EXPERIENCE IN THE TREATMENT OF NEUROBRUCELLOSIS IN KAZAKHSTAN

Abstract

Brucellosis is a zoonotic infection and therefore an important public health problem in the world. More than 0.5 million cases of brucellosis in humans are registered annually. Endemic areas for brucellosis include countries with developed animal husbandry. Kazakhstan is among the twenty-five countries with the highest incidence of brucellosis. Among the post-Soviet countries, Kazakhstan ranks second after Kyrgyzstan in the incidence of brucellosis. In recent years, 2500-3500 cases of human disease have been registered annually in the country, of which about 600 are children under the age of 14. The problem of brucellosis in Kazakhstan is caused by the agricultural orientation and prevalence of small cattle, which is the carrier of the most pathogenic Brucella melitensis. 42.2% of Kazakhstanis live in rural areas, and their main income is animal care. More than 85% of human brucellosis cases have been registered in 4 southern regions where animal husbandry (sheep breeding) is developed. Despite the long history of campaigns to combat brucellosis, Kazakhstan has not overcome this threat to public health. Brucellosis can affect many organs and systems. Complications of brucellosis are usually about 30 percent. Neurological damage occurs in up to 10% of cases. Manifestations include meningitis (acute or chronic), encephalitis, brain abscess, myelitis, sciatica and/or neuritis (with damage to cranial or peripheral nerves). The article presents rare clinical cases of neurobrucellosis on the background of concomitant diseases.