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Spinal brucellosis.

C N Rajapakse, A K Al-Aska, I Al-Orainey

    British Journal of Rheumatology
    |February 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Brucellosis can cause significant spinal and sacroiliac joint changes in patients with back pain. Bone scans are more sensitive than X-rays for detecting these inflammatory conditions.

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    Area of Science:

    • Rheumatology
    • Infectious Diseases
    • Radiology

    Background:

    • Brucellosis is a zoonotic infection that can affect multiple organ systems.
    • Musculoskeletal manifestations, particularly spinal involvement, are common in brucellosis.
    • Radiological assessment is crucial for diagnosing and managing spinal brucellosis.

    Purpose of the Study:

    • To describe the radiological findings in patients with back pain and brucellosis.
    • To compare the sensitivity of different imaging modalities in detecting brucellosis-related spinal changes.
    • To identify unique radiological features of spinal brucellosis.

    Main Methods:

    • Retrospective analysis of radiological findings in 44 patients diagnosed with brucellosis and back pain.
    • Evaluation of plain radiographs, bone scans, and computerized axial tomography (CAT) scans.

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  • Correlation of radiological findings with patient demographics and disease duration.

    • Main Results:

    • Radiological changes were more prevalent in older patients with longer disease duration.
    • Younger patients often presented with acute arthritis and sacroiliitis mimicking reactive arthritis.
    • Bone scanning demonstrated higher sensitivity than radiography, especially for acute sacroiliitis and hip involvement.
    • The lumbar spine was the most commonly affected spinal region.
    • Unique findings included vertebral body destruction, spondylolysis, spondylolisthesis, and discitis with calcification.
    • CAT scanning revealed vertebral-arch destruction and circumferential vertebral body sclerosis.

    Conclusions:

    • Brucellosis can lead to a diverse range of spinal and sacroiliac joint abnormalities.
    • Imaging plays a vital role in diagnosing spinal brucellosis, with bone scan and CAT scan offering valuable insights.
    • Recognizing the described radiological features is essential for accurate diagnosis and appropriate management of brucellosis-induced spinal disease.