Epidural and paravertebral abcesses in a case of brucellosis

Abstract

Brucellosis is a zoonotic infection, endemic in Turkey, which can involve many organs and systems. Brucellosis mainly involves the reticuloendothelial system and the skeletal-muscle system. Although skeletal-muscle system involvement is the most common complication of Brucellosis, paravertebral abscess associated with epidural abscess in patients with Brucellosis is rather uncommon. This article presents the case of a 52-year-old male patient that suffered  epiduraland paravertebral abscess due to Brucellosis, and received surgical and antimicrobial treatment, followed by a literature review.

Keywords

• Brucellosis,epidural abscess,paravertebral abscess

Epidural ve paravertebral apseler ile seyreden bruselloz olgusu

Abstract

Bruselloz pek çok organ ve sistemi tutabilen Türkiye’de endemik olarak görülebilen zoonotik bir infeksiyondur. Brusellozun başlıca tutulum yaptığı sistemler retiküloendoteliyal sistem ve iskelet-kas sistemidir. İskelet- kas sistemi tutulumu brusellozun en yaygın komplikasyonu olmasına rağmen, brusellozlu hastalarda paravertebral apse ve epidural apse birlikteliği oldukça nadirdir. Bu yazıda, bruselloza bağlı olarak epidural ve paravertebral apse gelişen, cerrahi ve antimikrobiyal tedavi uygulanan 52 yaşında bir erkek hasta sunularak literatür gözden geçirilmiştir. 

Keywords

• Bruselloz,epidural apse,paravertebral apse

References

1. 1. Young EJ. Brucellosis. Mandell, Douglas and Bennet’s Principles and Practice of Infectious Diseases, Mandell, Douglas and Bennet (eds), 7 th edi, Churchill Livingstone ,Pheladelphia, 2010; 2921-295.
2. 2. Boyaci A, Boyaci N, Tutoglu A, Dokumaci DS. Spinal epidural abscess in brucellosis. BMJ Case Rep 2013. doi:10.1136.
3. 3. Colmenero J. D. Clinical Findings, Therapeutic Approach, and Outcome of Brucellar Vertebral Osteomyelitis Clinical Infectious Diseases 2008; 46: 426–33.
4. 4. Meriç Enercan, Çağatay Öztürk, Sinan Karaca, Azmi Hamzaoğlu. Omurga enfeksiyonları. Türk Ortopedi ve Travmatoloji Birliği Derneği Dergisi 2011; 10: 245-57.
5. 5. Erdem H, Elaldi N, Batirel A et al. Comparison of brucellar and tuberculous spondylodiscitis patients: results of the multicenter "Backbone-1 Study. Spine J 2015; 15: 2509-17.
6. 6. Mehanic S, Baljic R, Mulabdic V, Huric-Jusufi I, Pinjo F, Topalovic-Cetkovic J, Hadziosmanovic V. Osteoarticular manifestations of brucellosis. Med Arch 2012 ;66: 24-26.
7. 7. Eren S, Büyükavci M, Ezirmik N, Ertek M. Spinal Brucellosis with Paraspinal Abscess Formation Treated with CT Guided Percutaneous Abscess Drainage. Interv Neuroradiol 2004; 10: 329-34.
8. 8. Malavolta N, Frigato M, Zanardi M, Mule R, Lisi L, Gnudi S, Fini M. Brucella spondylitis with paravertebral abscess due to Brucella melitensis infection: a case report.Drugs Exp Clin Res 2002; 28: 95-98.

9. 9. Cesur S, Ciftçi A, Sözen TH, Tekeli E. A case of epididymo-orchitis and paravertebral abscess due to brucellosis. J Infect 2003; 46: 251-3.