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Cervical Spine Spondylitis with an Epidural Abscess in a Patient with Brucellosis: A Case Report

INTRODUCTION: Human brucellosis, the most prevalent zoonotic disease worldwide, is a systemic infection which can involve several organs. Among musculoskeletal complaints, spondylitis is the most frequent complication of brucellosis and primarily affects the lumbar and thoracic vertebrae. The involv...

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Detalles Bibliográficos
Autores principales: Roushan, Mohammad Reza Hasanjani, Ebrahimpour, Soheil, Afshar, Zeinab Mohseni, Babazadeh, Arefeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sciendo 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698077/
https://www.ncbi.nlm.nih.gov/pubmed/31431923
http://dx.doi.org/10.2478/jccm-2019-0013
Descripción
Sumario:INTRODUCTION: Human brucellosis, the most prevalent zoonotic disease worldwide, is a systemic infection which can involve several organs. Among musculoskeletal complaints, spondylitis is the most frequent complication of brucellosis and primarily affects the lumbar and thoracic vertebrae. The involvement of the cervical spine is infrequent. CASE REPORT: This case report concerns an unusual case of cervical spine spondylitis with an epidural abscess due to Brucella in a 43-year-old man. The diagnosis was based on the patient being domiciled in an endemic region, his symptoms and his occupation. Clinical outcomes improved following antimicrobial therapy of rifampin, doxycycline, and gentamycin, and were confirmed radiologically. CONCLUSION: Early diagnosis and treatment are crucial for these patients. The timely commencement of medical treatment can help prevent surgery.