[Osteoarticular manifestations of brucellosis. Current aspects].
The authors report 118 cases of brucella osteoarthritis, of which 61 were observed over the last ten years. The most frequent localisations are spinal (53.4%), sacro-iliac (34.5%) and coxofemoral (15.5%). The clinical aspects are not very specific. The general signs, frequent during coxitis and to a lesser degree in spondylodiscitis, are rare during sacro-iliac involvement. The radiological appearance is mainly characteristic in the spine. The diagnosis is usually made in the laboratory, depending on a search for specific antibodies and delayed hypersensitivity tests. Treatment requires the use of intra-tissular and intra-cellular penetrating antibiotics (tetracycline and rifampicin) administered for a long period. The course usually leads to a cure without sequelae.
D001170:Arthritis, Infectious / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D002006:Brucellosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D010003:Osteoarthritis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
Manifestations ostéo-articulaires de la brucellose. Aspects actuels.