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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Brucellar spondylitis occurring in the cervical vertebra: a rare case report and literature review
Junxian Zhang1, Jianhui Li2, Jun Chen3
1Department of Clinical Laboratory, The Affiliated Hospital of Chengde Medical University, Chengde, China.
Introduction:
Brucellosis is a zoonotic disease, which can cause systemic infections involving multiple organs. In musculoskeletal diseases, spondylitis is the most common complication of brucellosis, mainly affecting the lumbar and thoracic vertebrae, and rarely involving the cervical vertebrae. Brucellosis-induced cervical spondyloarthritis represents a severe and rare clinical manifestation of brucellosis, potentially leading to permanent damage and neurological dysfunction.
Case Presentation:
This case report involves a 66-years-old male with a rare case of cervical spondylitis caused by Brucella. The diagnosis was based on the patient's epidemiological history, laboratory tests, and imaging examinations. After triple therapy with doxycycline, rifampicin, and ceftriaxone for the treatment of brucellosis, the patient's symptoms improved.
Conclusion:
Early diagnosis and treatment of spondylitis caused by Brucella are very important for the prognosis of patients.