A patient with brucellar cervical spondylodiscitis complicated by epidural abscess

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• 作者：Alper Eker^a ; İ ; lkay Uzunca^b ; &#xd6 ; zlem Tansel^c ; ^{otansel@yahoo.com} ; Murat Birtane^d
• 关键词：Brucellosis ; Cervical vertebrae ; Epidural abscess ; Spondylitis
• 刊名：Journal of Clinical Neuroscience
• 出版年：2011
• 出版时间：March 2011
• 年：2011
• 卷：18
• 期：3
• 页码：428-430
• 全文大小：289 K

文摘

Brucellar cervical spondylodiscitis and epidural abscess are serious medical conditions that can cause permanent neurological deficits. Fortunately, they are rare. We report a 34-year-old male patient, complaining of fever and neck pain and stiffness, with increased deep tendon reflexes. A lumbar puncture was normal. Brucella species organisms were isolated from blood cultures, and the Rose-Bengal test and the standard tube agglutination (STA) test were positive. The diagnosis was made on MRI. The patient was treated with doxycycline and rifampin daily for 16 weeks. On day 51 of treatment, the patient had no symptoms and his physical and neurological examinations were normal. His repeat cervical MRI was almost normal. The STA test was negative at week 20. It is important to consider brucellar cervical spondylodiscitis with epidural abscess in endemic regions.