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Updated: Apr 13, 2026
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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
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Espondilodiscitis Brucelar 20 Años Después de la Infección
Marília Kanebley1, Jamal Muhamad Abdul Hamid Suleiman1, Suely Sanae Kashino2
1Instituto de Infectologia Emílio Ribas, São Paulo State Department of Health, São Paulo, Brazil.
The American journal of tropical medicine and hygiene
|February 17, 2026
Resumen
La brucelosis puede causar espondilodiscitis años después de la infección inicial. El diagnóstico y tratamiento tempranos son cruciales para la recuperación de esta enfermedad zoonótica desatendida.
Área de la Ciencia:
- Enfermedades Infecciosas
- Reumatología
- Informes de Casos Médicos
Sus antecedentes:
- La brucelosis humana es una zoonosis desatendida con presentaciones clínicas variadas.
- La espondilodiscitis brucelar puede imitar otras infecciones de la columna vertebral.
- La brucelosis recurrente plantea desafíos diagnósticos.
Objetivo del estudio:
- Presentar un caso de espondilodiscitis brucelar en un paciente con antecedentes de brucelosis tratada.
- Enfatizar la importancia de considerar la brucelosis en el diagnóstico diferencial de la espondilodiscitis.
- Destacar las implicaciones a largo plazo de la brucelosis.
Principales métodos:
- Informe de caso de una paciente de 35 años.
- Presentación clínica, resonancia magnética (RM) y examen histopatológico.
- Confirmación de laboratorio de brucelosis y régimen de tratamiento.
Principales resultados:
- El paciente presentó dolor de espalda crónico y síntomas neurológicos.
- La resonancia magnética reveló una fractura patológica del cuerpo vertebral T8.
- El tratamiento exitoso con una combinación de amikacina, rifampicina y doxiciclina durante nueve meses condujo a la mejora.
Conclusiones:
- La brucelosis debe considerarse en el diagnóstico diferencial de la espondilodiscitis, particularmente en pacientes con antecedentes de la enfermedad.
- El diagnóstico y tratamiento tardíos pueden provocar complicaciones graves.
- Los protocolos de tratamiento efectivos pueden conducir a resultados favorables.
Palabras clave:
Espondilodiscitis brucelarBrucelosisZoonosis desatendidaDiagnóstico tardíoTratamientoInforme de casoMás Videos Relacionados
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