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Related Experiment Video

Updated: May 7, 2026

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

Published on: May 23, 2021

Spinal epidural abscess in brucellosis.

Ahmet Boyaci¹, Nurefsan Boyaci, Ahmet Tutoglu

¹Department of Radiology, Harran University Medical School, Sanliurfa, Turkey.

BMJ Case Reports

|September 28, 2013

Summary

Brucellosis, a bacterial infection, can rarely cause paraspinal abscesses. Early diagnosis via MRI and treatment with antibiotics like doxycycline and rifampin led to symptom improvement in a rare case.

Area of Science:

Infectious Diseases
Radiology
Orthopedics

Background:

Brucellosis commonly affects the skeletal system, but paraspinal abscesses are rare complications.
Paraspinal abscesses typically arise secondary to spondylitis.

Observation:

A 33-year-old woman presented with fever, night sweats, and low back pain.
Diagnostic tests, including the Rose-Bengal and Brucella standard tube agglutination tests, were positive for brucellosis.
Magnetic Resonance Imaging (MRI) confirmed the diagnosis of a paraspinal abscess.

Findings:

The patient received a 16-week course of doxycycline and rifampin.
Symptomatic improvement was noted by day 14 of antibiotic treatment.
This case highlights a rare presentation of brucellosis.

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Implications:

Brucellosis should be considered in endemic areas for patients with inflammatory lower back pain and fever.
Tuberculosis must be included in the differential diagnosis for spinal epidural abscesses.