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Year 2015, Volume: 5 Issue: 3, 129 - 132, 06.02.2016

Pınar Korkmaz Zeki Ataizi Figen Çevik Nevil Aykın Hakkı Güldüren Yeşim Alpay Gülay Şimşek

https://doi.org/10.5799/ahinjs.02.2015.03.0191

Abstract

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

Keywords

Brusellozis spinal infeksiyon spondilodiskitis

References

  • 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

Year 2015, Volume: 5 Issue: 3, 129 - 132, 06.02.2016

Pınar Korkmaz Zeki Ataizi Figen Çevik Nevil Aykın Hakkı Güldüren Yeşim Alpay Gülay Şimşek

https://doi.org/10.5799/ahinjs.02.2015.03.0191

Abstract

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.

Keywords

Brucellosis spinal infection spondylodiscitis

References

  • 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.
There are 34 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Pınar Korkmaz

Zeki Ataizi This is me

Figen Çevik This is me

Nevil Aykın This is me

Hakkı Güldüren This is me

Yeşim Alpay This is me

Gülay Şimşek This is me

Publication Date February 6, 2016
Published in Issue Year 2015 Volume: 5 Issue: 3

Cite

APA Korkmaz, P., Ataizi, Z., Çevik, F., Aykın, N., et al. (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. February 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, and Gülay Şimşek. “Brucella Spondylodiscitis: Multifocal Involvement in Thoracic and Lumbar Areas; A Rare Case”. Journal of Microbiology and Infectious Diseases 5, no. 3 (February 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 (February 1, 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, vol. 5, no. 3, pp. 129–132, 2016, doi: 10.5799/ahinjs.02.2015.03.0191.
ISNAD Korkmaz, Pınar et al. “Brucella Spondylodiscitis: Multifocal Involvement in Thoracic and Lumbar Areas; A Rare Case”. Journal of Microbiology and Infectious Diseases 5/3 (February 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 et al. “Brucella Spondylodiscitis: Multifocal Involvement in Thoracic and Lumbar Areas; A Rare Case”. Journal of Microbiology and Infectious Diseases, vol. 5, no. 3, 2016, pp. 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.