[Spondylodiscitis cause by Brucella suis].
In a 72-year-old Dutchman Brucellae suis spondylodiscitis TXII-LI was diagnosed, complicated by a paraspinal abscess, for which surgical drainage was carried out. The patient failed to recover after the combined antibiotic regimen of doxycycline, rifampicin and trimethoprim-sulfamethoxazole. There was good clinical improvement after a course of doxycycline and streptomycin, however. After a symptom-free period of 9 weeks a relapse occurred. The patient refused treatment and died 6 weeks later at home. The infection had probably been contracted after handling wild boar carcasses from eastern Europe.
Kant
G D
GD
Afd. Interne Geneeskunde, Medisch Spectrum Twente, Enschede.
van Lijf
J H
JH
Karthaus
R P
RP
D000368:Aged; D000900:Anti-Bacterial Agents; D002002:Brucella / Q000302:isolation & purification*; D002006:Brucellosis / Q000188:drug therapy / Q000382:microbiology*; D015299:Discitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006801:Humans; D008297:Male; D011859:Radiography; D012008:Recurrence; D013166:Spondylitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*
D000900:Anti-Bacterial Agents
Spondylodiscitis door Brucella suis.