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Updated: May 21, 2026

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

Published on: May 23, 2021

Brucellar spondylodiscitis affecting non-contiguous spine levels.

D Mrabet¹, H Mizouni, H Khiari

¹Department of Rheumatology, La Rabta Hospital, Tunis, Tunisia. mrabetdalila@yahoo.fr

BMJ Case Reports

|June 16, 2012

Summary

Brucellosis can affect multiple spine levels, a rare presentation of brucellar spondylodiscitis. Early diagnosis using serological tests and MRI is crucial for timely treatment in endemic areas.

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Area of Science:

Infectious Diseases
Musculoskeletal Disorders
Medical Imaging

Background:

Brucellosis is a zoonotic infection with diverse organ involvement.
The spine is the most frequent site of musculoskeletal brucellosis.
Multiple-level spinal involvement in brucellar spondylodiscitis is uncommon.

Observation:

A case report details a 56-year-old male shepherd with simultaneous cervical, thoracic, and lumbar spondylodiscitis.
Diagnosis was confirmed via a positive brucella-agglutination test and Magnetic Resonance Imaging (MRI).

Findings:

This case highlights a rare manifestation of brucellar spondylodiscitis involving multiple spinal regions.
Magnetic Resonance Imaging (MRI) aids in diagnosing spinal brucellosis.
Brucella-agglutination testing is a key diagnostic tool.

Implications:

Increased clinical suspicion for brucellar spondylodiscitis is vital, especially in endemic regions.
Brucellar spondylodiscitis should be considered in the differential diagnosis of prolonged spinal pain.
Wider use of screening serological tests for brucellosis is recommended in at-risk populations.