Spondilodiscitis Due to Ankylosing Spondylitis in a Female Patient with Chronic Relapsing Brucellosis: A Case Report

Abstract

Ankylosing Spondylitis (AS) and brucellosis are two distinct diseases which may be involved both sacroiliac joints and intervertebral discs. Spinal involvement in both diseases may be similar sometimes, and differential diagnosis may be difficult. We reported here a female patient with concomitant AS and brucellosis who was misdiagnosed as spondylodiscitis and sacroiliitis due to brucellosis, because of similar spinal involvement.

Keywords

• -

Kronik Tekrarlayan Bruselloz'lu Kadın Hastada Ankilozan Spondilite Bağlı Spondilodiskit: Vaka Sunumu

Öz

Ankilozan spondilit (AS) ve bruselloz hem sakroiliak eklemleri hem de intervertebral diskleri etkileyebilen 2 ayrı hastalıktır. Her iki hastalığıun spinal tutulumu bazen benzer ve ayırıcı tanısı zor olabilir. Biz burada benzer spinal tutulum nedeniyle yanlışlıkla bruselloza bağlı spondilit ve sakroileit tanısı konmuş AS'le birliktelik gösteren bir kadın bruselloz hastası sunduk.

Anahtar Kelimeler

• Ankilozan spondilit, bruselloz, spondilodiskit

References

1. Gotuzzo E, Alarcon GS, Bocanegra TS, Carillo C, Guerra JC, Rolando I, Espinoza LR. Articular involvement in human brucellosis: a retrospective analysis of 304 cases. Semin Arthritis Rheum 1982;12:245-255. 2.
2. Oostveen JCM, Van De Laar MAFJ. Magnetic resonance
3. imaging in rheumatic disorders of the spine and sacroiliac
4. Solera J, Lozano E, Martinez-Alfaro E, Espinosa A, Castillejos ML, Abad L. Brucelar Spondylitis: Review of 35 cases and literature survey. Clin Infect Dis;29:1440-1449.
5. Sankaran-Kutty M, Marwah S, Kanan-Kutty M. The skeletal manifestations of brucellosis. Int Orth 1991;15:17-19.
6. Al-Eissa YA, Kambal AM, Alrabeeah AA, Abdullah AMA, Al-Jurayyan NA, Al-Jishi NM. Osteoarticular brucellosis in children. Ann Rheum Dis 1990;49:896-900.
7. Tekkok IH, Berker M, Ozcan OE, Ozgen T, Akalın E. Brucellosis of the spine. Neurosurgery 1993;33:838-844.
8. Rajapakse CNA, Al-Aska KA, Al-Orainey I, Halim K, Arabi K. Spinal brucellosis. Br J Rheum 1987;26:28-31.

9. Mohan V, Gupta RP, Marklund T, Sabri T. Spinal brucellosis. Int Orth 1990;14:63-66.
10. Colmenero JD, Reguera JM, Fernandez-Nebro A, Cabrera- Franwuela F. Osteoarticular complications of brucellosis. Ann Rheum Dis 1991;50:23-26.
11. Alarcon GS, Bocanegra TS, Gotuzzo E, Espinoza LR. The arthritis of brucellosis: A Perspective one hundred years after Bruce’s discovery (Editorial). J Rheum 1987;14:1083-1085.
12. Ariza J, Gudiol F, Valverde J, Pallares R, Fernandez-Viladrich P, Ruffi G, Espadaler L, Fernandez-Nogues F. Brucellar spondylitis: A detailed analysis based on current findings. Rev Infect Dis 1985;7:656-664.
13. Colmenero JD, Cisneros JM, Orjuela DL, Pachon J, Garcia- Portales R, Rodriguez-Sampedro F, Juarez C. Clinical course and prognosis of brucella spondylitis. Infection 1992;20:38- 42.
14. Kabasakal Y, Garrett SL, Calin A. The epidemiology of spondylodiscitis in ankylosing spondylitis-A controlled study. Br J Rheum 1996;35:660-663.
15. Rasker JJ, Prevo RL, Lanting PJH. Spondylodiscitis in ankylosing spondylitis, inflammation or trauma? Scand J Rheumatol 1996;25:52-57.
16. Battafarano DF, West SG, Rak KM, Fortenbery EJ, Chantelois AE. Comparison of bone scan, computed tomography, and magnetic resonance imaging in the diagnosis of active sacroiliitis. Semin Arthritis Rheum 1993;23:161-176.
17. Kabul Tarihi: 18.10.2009