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Brucellar spondylitis: a detailed analysis based on current findings.

J Ariza, F Gudiol, J Valverde

    Reviews of Infectious Diseases
    |September 1, 1985
    PubMed
    Summary

    Brucellar spondylitis, an infection of the spine caused by Brucella bacteria, often presents with vertebral pain and requires prompt diagnosis. Long-term follow-up is generally unnecessary unless paravertebral abscess is suspected.

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    Correction to: The biological tests used in acute-phase of inflammation in bone infection Clinical study.

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    Area of Science:

    • Infectious Diseases
    • Orthopedic Surgery
    • Radiology

    Background:

    • Brucellosis is a zoonotic disease that can affect multiple organ systems.
    • Spondylitis, an inflammation of the spine, is a serious complication of brucellosis.
    • Early identification and management of brucellar spondylitis are crucial for patient outcomes.

    Purpose of the Study:

    • To review cases of brucellosis and identify patients with spondylitis.
    • To analyze the clinical presentation, diagnostic methods, and outcomes of brucellar spondylitis.
    • To evaluate the necessity of long-term follow-up for brucellar spondylitis.

    Main Methods:

    • A 10-year prospective review of 331 brucellosis cases.
    • Identification and follow-up of 20 patients diagnosed with spondylitis.

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  • Analysis of clinical symptoms, radiographic findings, and bone scan results (99mTc).

    • Main Results:

    • Spondylitis was diagnosed in 20 patients (17 male, 3 female; mean age 54).
    • Common symptoms included vertebral pain; common radiographic changes were disk narrowing and epiphysitis.
    • Diagnostic delays occurred due to subtle radiographic changes; bone scans were not useful for follow-up.
    • Three patients developed paravertebral abscesses requiring surgical drainage.
    • All patients were cured, with ten experiencing sequelae.

    Conclusions:

    • Brucellar spondylitis frequently presents acutely with bacteremia and vertebral pain.
    • While bone scans can aid initial diagnosis, they are not effective for monitoring treatment response.
    • Long-term follow-up for brucellar spondylitis is typically not required, except in cases of suspected paravertebral abscess.