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Yıl 2015, Cilt: 5 Sayı: 3, 129 - 132, 06.02.2016
https://doi.org/10.5799/ahinjs.02.2015.03.0191

Öz

Brusellozis bir çok organ ve dokuları tutabilen bir zoonotik enfeksiyondur. İskelet sistemi bruselloziste en sık etkilenen bölge olup, sıklığı % 2 ile % 53 arasında değişmektedir. Multifokal spinal tutulum nadirdir. Bu yazıda torakal ve lomber bölgeyi aynı anda tutan brusella spondilodiskit olgusunun sunulması amaçlanmıştır. Brusellaya bağlı multifokal spinal infeksiyonun tanısı MRI ile konulabilir. Özellikle endemik bölgelerde brusellozis tanısında en az iki adet serolojik test yöntemi kullanılması gerekmektedir. Endemik bölgelerde uzun zaman devam eden sırt ve bel ağrısı şikayeti olan hastalarda ayırıcı tanıda mutlaka brusellozis düşünülmelidir

Kaynakça

  • Young EJ. Brucella species. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and practice of infectious diseases. Philadelphia,PA: Churchill Livingstone, 2000:2386–2393.
  • Arkun R, Mete BD. Musculoskelatal brucellosis. Semin usculoskelet
  • Radiol 2011;15:470-479.
  • Turgut M, Turgut AT, Koşar U. Spinal brucellosis: Turkish experience based on 452 cases published during the last century.
  • Acta Neurochir (Wien) 2006;148:1033-1044.
  • Chelli Bouaziz M, Ladeb MF, Chakroun M, Chaabane S. Spinal
  • brucellosis: a review. Skeletal Radiol 2008;37:785-790.
  • Raptopoulou A, Karantanas AH, Poumboulidis K, et al. Brucellar
  • spondilodiscitis: noncontiguous multifocal involvement of the cervical, thoracic and lumbar spine. Clin Imaging 2006;30:214-217.
  • Colmenero JD, Ruiz-Mesa JD, Plata A, et al. Clinical findings, therapeutic approach, and outcome of brucellar vertebral osteomyelitis.Clin Infect Dis 2008;46:426-433.
  • Pourbagher A, Pourbagher MA, Savas L, et al. Epidemiologic,
  • clinical, and imaging findings in brucellosis patients with osteoarticular involvement. AJR Am J Roentgenol. 2006;187:873-880.
  • Chelli Bouaziz M, Bougamra I, Kaffel D, et al. Non contiguous multifocal spondylitis: an exceptional presentation of spinal brucellosis. Tunis Med 2010;88:280-284.
  • Samra Y, Hertz M, Shaked Y, et al. Brucellosis of the spine.A report of 3 cases. J Bone Joint Surg Br 1982;64:429-431.
  • Turunç T, Demiroğlu YZ, Alişkan H, et al. Brucellosis incases of end-stage renal disease. Nephrol Dial Transplant 2008;23:2344-2399.
  • Baqer MM, Qurtom MA, Abdulhadi Ali Al-Ajmi J, et al. Multifocal
  • brucellosis spondylodiscitis. Clin Nucl Med 2002;27:842-843.
  • Shalchian S, de Wispelaere F. Brucella spondylodiscitis with
  • multiple-level involvement, an unusual clinical presentation. Eur J Neurol 2007;14:1-2.
  • Solera J, Lazano E, Martinez-Alfaro E, et al. Brucellar spondylitis:
  • review 0f 35 cases and literature survey. Clin Infect Dis 1999;29:1440-1449.
  • Mrabet D, Mizouni H, Khiari H, et al. Brucellar spondylodiscitis
  • affecting non-contiguous spine levels. BMJ Case Rep 2011:1-4.
  • Charalambides C, Papademetriou K, Sgouros S, Sakas D.
  • Brucellosis of the spine affecting multiple non-contiguous levels. Br J Neurosurg 2010;24:589-591.
  • Zormpala A, Skopelitis E, Thanos L, et al. An unusual case of brucellar spondylitis involving both the cervical and lumbar spine. J Clin Imaging 2000;24:273-275.
  • Yılmaz E, Parlak M, Akalın H, et al. Brucellar spondylitis review
  • of 25 cases. J Clin Rheumatol. 2004;10:300-307.
  • Bozgeyik Z, Ozdemir H, Demirdag K, et al. Clinical and MRI findings of brucellar spondylodiscitis. Eur J Radiol 2008;67:153-158.
  • Buzgan T, Karahocagil MK, Irmak H, et al. Clinical manifestations
  • and complications in 1028 cases of brucellosis: a retrospective evaluation and review of the literature. J Infect Dis 2010;14:469-478.
  • Alp E, Doganay M. Current therapeutic strategy in spinal brucellosis. Int J Infect Dis 2008;12:573–577.
  • Ekici MA, Ozbek Z, Gökoğlu A, Menkü A. Surgical management
  • of cervical spinal epidural abscess caused by Brucella melitensis: report of two cases and review of the literature. J Korean Neurosurg Soc 2012;51:383-387.

Brucella spondylodiscitis: Multifocal involvement in thoracic and lumbar areas; a rare case

Yıl 2015, Cilt: 5 Sayı: 3, 129 - 132, 06.02.2016
https://doi.org/10.5799/ahinjs.02.2015.03.0191

Öz

Brucellosis is a zoonosis that can affect many organs or systems. Musculoskeletal system is the most commonly affected site in brucellosis and the frequency of musculoskeletal system involvement varies between 2% and 53%. Multifocal spinal involvement is rare. Here, it was aimed to present our case with brucellar spondylodiscitis involving the thoracic and lumbar regions simultaneously. MRI is a useful imaging method in the diagnosis of multifocal spinal infection caused by brucellosis. Especially in endemic regions, at least two serological tests should be used in the diagnosis of brucellosis. Brucellosis should be absolutely kept in mind for the differential diagnosis of the elderly patients with complaint of longstanding thoracic and back pain in the regions where brucellosis is endemic. J Microbiol Infect Dis 2015;5(3): 129-132

Key words: Brucellosis, spinal infection, spondylodiscitis.

Kaynakça

  • Young EJ. Brucella species. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and practice of infectious diseases. Philadelphia,PA: Churchill Livingstone, 2000:2386–2393.
  • Arkun R, Mete BD. Musculoskelatal brucellosis. Semin usculoskelet
  • Radiol 2011;15:470-479.
  • Turgut M, Turgut AT, Koşar U. Spinal brucellosis: Turkish experience based on 452 cases published during the last century.
  • Acta Neurochir (Wien) 2006;148:1033-1044.
  • Chelli Bouaziz M, Ladeb MF, Chakroun M, Chaabane S. Spinal
  • brucellosis: a review. Skeletal Radiol 2008;37:785-790.
  • Raptopoulou A, Karantanas AH, Poumboulidis K, et al. Brucellar
  • spondilodiscitis: noncontiguous multifocal involvement of the cervical, thoracic and lumbar spine. Clin Imaging 2006;30:214-217.
  • Colmenero JD, Ruiz-Mesa JD, Plata A, et al. Clinical findings, therapeutic approach, and outcome of brucellar vertebral osteomyelitis.Clin Infect Dis 2008;46:426-433.
  • Pourbagher A, Pourbagher MA, Savas L, et al. Epidemiologic,
  • clinical, and imaging findings in brucellosis patients with osteoarticular involvement. AJR Am J Roentgenol. 2006;187:873-880.
  • Chelli Bouaziz M, Bougamra I, Kaffel D, et al. Non contiguous multifocal spondylitis: an exceptional presentation of spinal brucellosis. Tunis Med 2010;88:280-284.
  • Samra Y, Hertz M, Shaked Y, et al. Brucellosis of the spine.A report of 3 cases. J Bone Joint Surg Br 1982;64:429-431.
  • Turunç T, Demiroğlu YZ, Alişkan H, et al. Brucellosis incases of end-stage renal disease. Nephrol Dial Transplant 2008;23:2344-2399.
  • Baqer MM, Qurtom MA, Abdulhadi Ali Al-Ajmi J, et al. Multifocal
  • brucellosis spondylodiscitis. Clin Nucl Med 2002;27:842-843.
  • Shalchian S, de Wispelaere F. Brucella spondylodiscitis with
  • multiple-level involvement, an unusual clinical presentation. Eur J Neurol 2007;14:1-2.
  • Solera J, Lazano E, Martinez-Alfaro E, et al. Brucellar spondylitis:
  • review 0f 35 cases and literature survey. Clin Infect Dis 1999;29:1440-1449.
  • Mrabet D, Mizouni H, Khiari H, et al. Brucellar spondylodiscitis
  • affecting non-contiguous spine levels. BMJ Case Rep 2011:1-4.
  • Charalambides C, Papademetriou K, Sgouros S, Sakas D.
  • Brucellosis of the spine affecting multiple non-contiguous levels. Br J Neurosurg 2010;24:589-591.
  • Zormpala A, Skopelitis E, Thanos L, et al. An unusual case of brucellar spondylitis involving both the cervical and lumbar spine. J Clin Imaging 2000;24:273-275.
  • Yılmaz E, Parlak M, Akalın H, et al. Brucellar spondylitis review
  • of 25 cases. J Clin Rheumatol. 2004;10:300-307.
  • Bozgeyik Z, Ozdemir H, Demirdag K, et al. Clinical and MRI findings of brucellar spondylodiscitis. Eur J Radiol 2008;67:153-158.
  • Buzgan T, Karahocagil MK, Irmak H, et al. Clinical manifestations
  • and complications in 1028 cases of brucellosis: a retrospective evaluation and review of the literature. J Infect Dis 2010;14:469-478.
  • Alp E, Doganay M. Current therapeutic strategy in spinal brucellosis. Int J Infect Dis 2008;12:573–577.
  • Ekici MA, Ozbek Z, Gökoğlu A, Menkü A. Surgical management
  • of cervical spinal epidural abscess caused by Brucella melitensis: report of two cases and review of the literature. J Korean Neurosurg Soc 2012;51:383-387.
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Olgu Sunumu
Yazarlar

Pınar Korkmaz

Zeki Ataizi Bu kişi benim

Figen Çevik Bu kişi benim

Nevil Aykın Bu kişi benim

Hakkı Güldüren Bu kişi benim

Yeşim Alpay Bu kişi benim

Gülay Şimşek Bu kişi benim

Yayımlanma Tarihi 6 Şubat 2016
Yayımlandığı Sayı Yıl 2015 Cilt: 5 Sayı: 3

Kaynak Göster

APA Korkmaz, P., Ataizi, Z., Çevik, F., Aykın, N., vd. (2016). Brucella spondylodiscitis: Multifocal involvement in thoracic and lumbar areas; a rare case. Journal of Microbiology and Infectious Diseases, 5(3), 129-132. https://doi.org/10.5799/ahinjs.02.2015.03.0191
AMA Korkmaz P, Ataizi Z, Çevik F, Aykın N, Güldüren H, Alpay Y, Şimşek G. Brucella spondylodiscitis: Multifocal involvement in thoracic and lumbar areas; a rare case. J Microbil Infect Dis. Şubat 2016;5(3):129-132. doi:10.5799/ahinjs.02.2015.03.0191
Chicago Korkmaz, Pınar, Zeki Ataizi, Figen Çevik, Nevil Aykın, Hakkı Güldüren, Yeşim Alpay, ve Gülay Şimşek. “Brucella Spondylodiscitis: Multifocal Involvement in Thoracic and Lumbar Areas; A Rare Case”. Journal of Microbiology and Infectious Diseases 5, sy. 3 (Şubat 2016): 129-32. https://doi.org/10.5799/ahinjs.02.2015.03.0191.
EndNote Korkmaz P, Ataizi Z, Çevik F, Aykın N, Güldüren H, Alpay Y, Şimşek G (01 Şubat 2016) Brucella spondylodiscitis: Multifocal involvement in thoracic and lumbar areas; a rare case. Journal of Microbiology and Infectious Diseases 5 3 129–132.
IEEE P. Korkmaz, “Brucella spondylodiscitis: Multifocal involvement in thoracic and lumbar areas; a rare case”, J Microbil Infect Dis, c. 5, sy. 3, ss. 129–132, 2016, doi: 10.5799/ahinjs.02.2015.03.0191.
ISNAD Korkmaz, Pınar vd. “Brucella Spondylodiscitis: Multifocal Involvement in Thoracic and Lumbar Areas; A Rare Case”. Journal of Microbiology and Infectious Diseases 5/3 (Şubat 2016), 129-132. https://doi.org/10.5799/ahinjs.02.2015.03.0191.
JAMA Korkmaz P, Ataizi Z, Çevik F, Aykın N, Güldüren H, Alpay Y, Şimşek G. Brucella spondylodiscitis: Multifocal involvement in thoracic and lumbar areas; a rare case. J Microbil Infect Dis. 2016;5:129–132.
MLA Korkmaz, Pınar vd. “Brucella Spondylodiscitis: Multifocal Involvement in Thoracic and Lumbar Areas; A Rare Case”. Journal of Microbiology and Infectious Diseases, c. 5, sy. 3, 2016, ss. 129-32, doi:10.5799/ahinjs.02.2015.03.0191.
Vancouver Korkmaz P, Ataizi Z, Çevik F, Aykın N, Güldüren H, Alpay Y, Şimşek G. Brucella spondylodiscitis: Multifocal involvement in thoracic and lumbar areas; a rare case. J Microbil Infect Dis. 2016;5(3):129-32.