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Difficulties in diagnosing Brucella spondylitis.

M Jensenius1, E A Høiby, D Berild

  • 1Department of Internal Medicine, Aker University Hospital, Oslo, Norway.

Scandinavian Journal of Infectious Diseases
|August 26, 2000
PubMed
Summary
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Brucella spondylitis, a spinal infection, can be challenging to diagnose. This case highlights difficulties in identifying Brucella, leading to delayed treatment in an asylum seeker.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Clinical Medicine

Background:

  • Brucellosis is a zoonotic disease caused by Brucella species.
  • Spondylitis, an infection of the spine, is a potential complication of brucellosis.
  • Timely diagnosis and treatment are crucial for favorable outcomes.

Observation:

  • A 28-year-old male asylum seeker presented with symptoms suggestive of spinal infection.
  • The patient had recently arrived from Turkey to Norway.
  • Initial microbiological investigations presented challenges in identifying the causative agent.

Findings:

  • Culture-proven Brucella spondylitis was diagnosed.
  • The microorganism exhibited rapid in vitro growth.
  • Biochemical gallery strip tests led to misidentification of the Brucella species.

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  • These diagnostic hurdles resulted in a delayed diagnosis.

    • Implications:

    • This case underscores the importance of considering Brucellosis in endemic populations presenting with spondylitis.
    • Diagnostic challenges associated with Brucella require awareness among clinical microbiologists and infectious disease specialists.
    • Improved diagnostic strategies may be needed to expedite the identification of Brucella in clinical settings.