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Related Concept Videos

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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Chronic Undiagnosed Brucellosis Presenting as Sciatica.

Meletis Rozis1, John Vlamis1, Spyros G Pneumaticos1

  • 13rd Orthopaedic Department, University of Athens, KAT Hospital, Athens, GRC.

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|March 17, 2021
PubMed
Summary
This summary is machine-generated.

Brucellosis, a zoonotic disease, can rarely affect the hip joint, often presenting with sciatica and spinal issues. Early diagnosis via imaging and serology is crucial for effective treatment and preventing chronic complications.

Keywords:
abscessbrucellosisosteomyelitissinus

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Area of Science:

  • Infectious Diseases
  • Rheumatology
  • Orthopedic Surgery

Background:

  • Brucellosis is a zoonotic infection prevalent in Southern Europe, typically affecting the spine and sacroiliac joints.
  • Musculoskeletal manifestations of brucellosis are uncommon, with hip involvement being particularly rare in medical literature.

Observation:

  • A 51-year-old male presented with sciatica, a history of cauda equina syndrome, and sinuses near the right buttock.
  • Radiological imaging revealed lumbar spine and sacroiliac joint abscesses with sinuses communicating to the right hip joint capsule.
  • Cultures from the lesion were negative for common bacteria, prompting suspicion of brucellosis given the clinical and radiological findings.

Findings:

  • Serum agglutination tests confirmed brucellosis as the etiological factor for the patient's chronic hip joint involvement.
  • The patient opted for antibiotic suppression therapy instead of surgery.
  • A 12-month follow-up showed no signs of infection relapse, with good pain control and normal gait.

Implications:

  • This case highlights the rare but possible indirect hip joint infection caused by chronic brucellosis.
  • Physicians should consider brucellosis in the differential diagnosis for patients with unexplained sciatica and characteristic spinal/sacroiliac joint abnormalities.
  • Recognizing the radiological signs of brucellosis is essential for timely diagnosis and management of atypical presentations.