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Spondylitis caused by Brucella abortus.

J Torres-Rojas, R F Taddonio, C V Sanders

    Southern Medical Journal
    |September 1, 1979
    PubMed
    Summary
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    Brucella abortus caused severe lumbar spondylitis, likely from raw milk. Early bone scan detection and surgical intervention led to complete recovery, highlighting effective treatment for this rare spinal infection.

    Area of Science:

    • Infectious Diseases
    • Orthopedic Surgery
    • Medical Imaging

    Background:

    • Brucellosis is a zoonotic disease that can affect multiple organ systems.
    • Spinal involvement (spondylitis) is a rare but serious complication of Brucellosis.
    • Chronic lumbar spondylitis due to Brucella abortus requires timely diagnosis and management.

    Observation:

    • A patient presented with severe chronic spondylitis of the lumbar spine.
    • Infection was suspected to be linked to the ingestion of raw cow's milk.
    • A large left psoas abscess, uncommon in brucellosis, was observed.

    Findings:

    • Technetium bone scan detected active infection two years prior to radiographic abnormalities.
    • Surgical resection and debridement of necrotic tissue were performed.

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  • Prolonged oral doxycycline treatment was administered.

    • Implications:

    • Early detection of Brucella spondylitis is possible with advanced imaging techniques like bone scans.
    • Aggressive surgical management combined with antibiotic therapy can lead to complete recovery.
    • This case underscores the importance of considering Brucellosis in endemic areas, even with atypical presentations.