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Brucellosis can cause serious spinal complications like cervical spondylitis leading to paralysis. This case highlights successful non-surgical treatment of a brucellar epidural abscess, restoring neurological function.

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Area of Science:

  • Infectious Diseases
  • Neurology
  • Orthopedics

Background:

  • Brucellosis is a global zoonotic infection caused by Brucella bacteria.
  • Osteoarticular involvement is a common complication of brucellosis.
  • Spondylitis is the most frequent and significant clinical manifestation of brucellosis.

Observation:

  • A middle-aged male presented with cervical brucellar spondylitis.
  • The condition resulted in incomplete limb paralysis due to spinal cord compression.
  • Diagnosis was confirmed via clinical history, Brucella serology, and MRI.

Findings:

  • The patient received a four-week course of quadruple antibacterial therapy.
  • An epidural abscess causing spinal cord compression resolved without surgical intervention.
  • Significant recovery from neurological deficits was observed post-treatment.

Implications:

  • This case demonstrates the efficacy of non-surgical management for cervical brucellar spondylitis with epidural abscess.
  • Early diagnosis and appropriate antibiotic treatment are crucial for favorable outcomes.
  • Highlights the importance of considering brucellosis in endemic areas presenting with spinal complications.