Brucellosis with cervical vertebrae and pulmonary involvement: A rare case

Authors : Gül Karagöz, Ayten Kadanalı, Behiye Dede, Şenol Çomoğlu, Nur Betül Özdemir, Mehmet Önen

Pages : 173-175

Doi:10.5799/ahinjs.02.2015.04.0200

View : 12 | Download : 2

Publication Date : 2016-02-06

Article Type : Other Papers

Abstract :The spine is the most common site of musculoskeletal involvement of brucellosis. However, there is no case report presented in the literature of both cervical vertebrae spondylodiscitis and pulmonary involvement of brucella. We reported a 52-year-old woman complaining for one month of fever with rigors, fatigue, malaise, pain on the neck and arm, and sweating. The Wright agglutination test for brucella was positive at titers of 1/640. MRI of the cervical vertebrae was consistent with spondylodiscitis and paravertebral and epidural abscesses. Ground glass opacity was seen in the left upper lobe on CT scanning of the chest. Percutaneous image-guided biopsy was performed and Brucella melitensis was isolated. The patient was treated with streptomycin for 3 weeks, plus doxycycline and rifampicin for 3 months. We recommend tissue culture for brucella patients with lung lesions. Isolation of the microorganism from a biopsy material provides conclusive evidence. J Microbiol Infect Dis 2015;5insert ignore into journalissuearticles values(4);: 173-175 Key words: Bacterial infection, brucellosis, cervical vertebrae, pulmonary involvement, spondylodiscitis
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