Total spinal involvement due to delayed diagnosis and treatment of noncontiguous brucellar spondylitis
Rational: Brucellosis is a globally prevalent zoonotic disease. Any part of the body can be affected by active brucellosis but osteoarticular involvement are the most common symptoms which was reported to vary from 10% to 85%. The spine is the most common site of brucellosis in the bones. However, n...
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ftdoajarticles:oai:doaj.org/article:afb80290aaee4b1eb9f1eb2be14bcb61 2023-05-15T15:08:05+02:00 Total spinal involvement due to delayed diagnosis and treatment of noncontiguous brucellar spondylitis Jie He Qiang Zhang 2021-01-01T00:00:00Z https://doi.org/10.4103/1995-7645.304300 https://doaj.org/article/afb80290aaee4b1eb9f1eb2be14bcb61 EN eng Wolters Kluwer Medknow Publications http://www.apjtm.org/article.asp?issn=1995-7645;year=2021;volume=14;issue=1;spage=44;epage=46;aulast=He https://doaj.org/toc/2352-4146 2352-4146 doi:10.4103/1995-7645.304300 https://doaj.org/article/afb80290aaee4b1eb9f1eb2be14bcb61 Asian Pacific Journal of Tropical Medicine, Vol 14, Iss 1, Pp 44-46 (2021) brucella spondylitis tuberculosis polymerase chain reaction radiology Arctic medicine. Tropical medicine RC955-962 article 2021 ftdoajarticles https://doi.org/10.4103/1995-7645.304300 2022-12-30T19:54:37Z Rational: Brucellosis is a globally prevalent zoonotic disease. Any part of the body can be affected by active brucellosis but osteoarticular involvement are the most common symptoms which was reported to vary from 10% to 85%. The spine is the most common site of brucellosis in the bones. However, noncontiguous brucellar spondylitis is rare, only few cases have been reported in the literature. Patient concerns: A 62-year-old woman with brucellar spondylitis presented with lower back pain and pain in the right lower extremity for six months. Diagnosis: Brucella agglutination test (1:320) and the result of polymerase chain reaction (PCR) confirmed the diagnosis of noncontiguous brucellar spondylitis. Intervention: During hospital stay, the women received intravenous treatment for brucellosis (A combination of doxycycline 200 mg/d, rifampicin 900 mg/d, levofloxacin 0.5 g/QD, and ceftriaxone 2 g/QD was administered for 1 week), The L4-S1 vertebral body was fixed by posterior lumbar debridement. Outcome: Six months after discharge, the follow-up radiographic images showed stable vertebral height and good lumbar stability. She complained no discomfort. Lessons: Multi-level involvement is an exceptional form of brucellar spondylitis. To the best of our knowledge, only few similar cases have been reported. PCR and bacterial culture is necessary for confirmed diagnosis. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Asian Pacific Journal of Tropical Medicine 14 1 44 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
brucella spondylitis tuberculosis polymerase chain reaction radiology Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
brucella spondylitis tuberculosis polymerase chain reaction radiology Arctic medicine. Tropical medicine RC955-962 Jie He Qiang Zhang Total spinal involvement due to delayed diagnosis and treatment of noncontiguous brucellar spondylitis |
topic_facet |
brucella spondylitis tuberculosis polymerase chain reaction radiology Arctic medicine. Tropical medicine RC955-962 |
description |
Rational: Brucellosis is a globally prevalent zoonotic disease. Any part of the body can be affected by active brucellosis but osteoarticular involvement are the most common symptoms which was reported to vary from 10% to 85%. The spine is the most common site of brucellosis in the bones. However, noncontiguous brucellar spondylitis is rare, only few cases have been reported in the literature. Patient concerns: A 62-year-old woman with brucellar spondylitis presented with lower back pain and pain in the right lower extremity for six months. Diagnosis: Brucella agglutination test (1:320) and the result of polymerase chain reaction (PCR) confirmed the diagnosis of noncontiguous brucellar spondylitis. Intervention: During hospital stay, the women received intravenous treatment for brucellosis (A combination of doxycycline 200 mg/d, rifampicin 900 mg/d, levofloxacin 0.5 g/QD, and ceftriaxone 2 g/QD was administered for 1 week), The L4-S1 vertebral body was fixed by posterior lumbar debridement. Outcome: Six months after discharge, the follow-up radiographic images showed stable vertebral height and good lumbar stability. She complained no discomfort. Lessons: Multi-level involvement is an exceptional form of brucellar spondylitis. To the best of our knowledge, only few similar cases have been reported. PCR and bacterial culture is necessary for confirmed diagnosis. |
format |
Article in Journal/Newspaper |
author |
Jie He Qiang Zhang |
author_facet |
Jie He Qiang Zhang |
author_sort |
Jie He |
title |
Total spinal involvement due to delayed diagnosis and treatment of noncontiguous brucellar spondylitis |
title_short |
Total spinal involvement due to delayed diagnosis and treatment of noncontiguous brucellar spondylitis |
title_full |
Total spinal involvement due to delayed diagnosis and treatment of noncontiguous brucellar spondylitis |
title_fullStr |
Total spinal involvement due to delayed diagnosis and treatment of noncontiguous brucellar spondylitis |
title_full_unstemmed |
Total spinal involvement due to delayed diagnosis and treatment of noncontiguous brucellar spondylitis |
title_sort |
total spinal involvement due to delayed diagnosis and treatment of noncontiguous brucellar spondylitis |
publisher |
Wolters Kluwer Medknow Publications |
publishDate |
2021 |
url |
https://doi.org/10.4103/1995-7645.304300 https://doaj.org/article/afb80290aaee4b1eb9f1eb2be14bcb61 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Asian Pacific Journal of Tropical Medicine, Vol 14, Iss 1, Pp 44-46 (2021) |
op_relation |
http://www.apjtm.org/article.asp?issn=1995-7645;year=2021;volume=14;issue=1;spage=44;epage=46;aulast=He https://doaj.org/toc/2352-4146 2352-4146 doi:10.4103/1995-7645.304300 https://doaj.org/article/afb80290aaee4b1eb9f1eb2be14bcb61 |
op_doi |
https://doi.org/10.4103/1995-7645.304300 |
container_title |
Asian Pacific Journal of Tropical Medicine |
container_volume |
14 |
container_issue |
1 |
container_start_page |
44 |
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1766339515735080960 |