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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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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
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author Roushan, Mohammad Reza Hasanjani
Ebrahimpour, Soheil
Afshar, Zeinab Mohseni
Babazadeh, Arefeh
author_facet Roushan, Mohammad Reza Hasanjani
Ebrahimpour, Soheil
Afshar, Zeinab Mohseni
Babazadeh, Arefeh
author_sort Roushan, Mohammad Reza Hasanjani
collection PubMed
description 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.
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spelling pubmed-66980772019-08-20 Cervical Spine Spondylitis with an Epidural Abscess in a Patient with Brucellosis: A Case Report Roushan, Mohammad Reza Hasanjani Ebrahimpour, Soheil Afshar, Zeinab Mohseni Babazadeh, Arefeh J Crit Care Med (Targu Mures) 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 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. Sciendo 2019-08-09 /pmc/articles/PMC6698077/ /pubmed/31431923 http://dx.doi.org/10.2478/jccm-2019-0013 Text en © 2019 Mohammad Reza Hasanjani Roushan, Soheil Ebrahimpour, Zeinab Mohseni Afshar, Arefeh Babazadeh, published by Sciendo http://creativecommons.org/licenses/by-nc-nd/4.0 This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
spellingShingle Case Report
Roushan, Mohammad Reza Hasanjani
Ebrahimpour, Soheil
Afshar, Zeinab Mohseni
Babazadeh, Arefeh
Cervical Spine Spondylitis with an Epidural Abscess in a Patient with Brucellosis: A Case Report
title Cervical Spine Spondylitis with an Epidural Abscess in a Patient with Brucellosis: A Case Report
title_full Cervical Spine Spondylitis with an Epidural Abscess in a Patient with Brucellosis: A Case Report
title_fullStr Cervical Spine Spondylitis with an Epidural Abscess in a Patient with Brucellosis: A Case Report
title_full_unstemmed Cervical Spine Spondylitis with an Epidural Abscess in a Patient with Brucellosis: A Case Report
title_short Cervical Spine Spondylitis with an Epidural Abscess in a Patient with Brucellosis: A Case Report
title_sort cervical spine spondylitis with an epidural abscess in a patient with brucellosis: a case report
topic Case Report
url 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
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