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A case of brucella spondylodiscitis with extended, multiple-level involvement
Mehmet Ozden1, Kutbettin Demirdag, Ahmet Kalkan
1Department of Infectious Diseases and Clinical Microbiology, Firat University, Faculty of Medicine, Elazig, Turkey. ozdenm44@hotmail.com
Southern Medical Journal
|March 12, 2005
Summary
Brucellosis, a zoonotic disease, can present as spondylodiscitis with paravertebral abscesses. Effective treatment involves a combination of doxycycline and rifampin, leading to complete radiologic recovery.
Area of Science:
- Infectious Diseases
- Radiology
- Orthopedics
Background:
- Brucellosis is a zoonotic infection with diverse clinical manifestations.
- Spondylodiscitis is a serious complication, potentially involving paravertebral abscesses.
Observation:
- A 61-year-old male presented with brucellar spondylodiscitis affecting multiple vertebrae and an erector spinae muscle abscess.
- Diagnosis was confirmed via positive blood culture and Magnetic Resonance Imaging (MRI).
Findings:
- Combined treatment with doxycycline and rifampin for 3 months, followed by doxycycline alone for 6 months, was administered.
- Complete resolution of radiologic findings was observed after 1 year of follow-up, with no relapse.
Implications:
- This case highlights the effectiveness of a prolonged antibiotic regimen in treating complex brucellar spondylodiscitis.
- Early diagnosis and appropriate treatment are crucial for favorable outcomes and preventing relapse.