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Updated: Jul 11, 2026

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

Published on: May 23, 2021

[Brucellosis spondylodiscitis: case report].

Caroline Castro Figueira de Mello1, Daltono Umberto de Souza, Francisco Antônio Capita Glória

  • 1Setor Clínica Médica, Hospital Regional de Taguatinga, Taguatinga, DF. carolinecfm@hotmail.com

Revista Da Sociedade Brasileira De Medicina Tropical
|September 19, 2007
PubMed
Summary

This case report details Brucella spondylodiscitis in a farmer, diagnosed via serology and blood culture. Early diagnosis and treatment with antibiotics led to clinical improvement, highlighting the importance of recognizing this rare complication.

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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
06:23

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Published on: May 23, 2021

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
07:50

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Published on: September 20, 2018

Area of Science:

  • Infectious Diseases
  • Rheumatology
  • Radiology

Background:

  • Brucellosis is a zoonotic disease with diverse clinical manifestations.
  • Vertebral involvement, or spondylodiscitis, is an uncommon but serious complication of brucellosis.
  • Diagnosis can be challenging, especially in tuberculosis-endemic areas where symptoms may overlap.

Observation:

  • A 56-year-old male farmer presented with systemic symptoms suggestive of brucellosis.
  • Diagnostic workup revealed positive serological tests (titer 1/160), positive blood culture, and elevated blood sedimentation rate.
  • Radiological imaging confirmed spondylodiscitis at the T8/T9 vertebral level.

Findings:

  • The patient was successfully treated with a combination of streptomycin, doxycycline, and rifampicin.
  • Clinical improvement was observed following the prescribed antibiotic regimen.
  • This case underscores the diagnostic utility of serology, blood cultures, and imaging in identifying Brucella spondylodiscitis.

Implications:

  • Early recognition and prompt treatment of Brucella spondylodiscitis are crucial to prevent long-term sequelae.
  • Clinicians should maintain a high index of suspicion for brucellosis in patients with vertebral infections, particularly in endemic regions.
  • This case highlights the importance of considering brucellosis in the differential diagnosis of spinal infections.