[Brucellosis with osteo-muscular localization. A case report of a not rare pathological condition].
Brucellosis may show itself only through its bone and muscle complications, especially in the lumbar region, such as vertebral colliquation or psoas abscess. The authors describe a case of brucellosis (56 year old male, butcher) with lumbar bone and muscle involvement. The first symptom was a persistent pain of the right lumbar region, with irradiation to the homolateral leg. At admission the patient showed a lumbar cutaneous fistula with pus-like secretion. Quick diagnosis and therapy can prevent irreparable damage, even when the symptoms are silent.
Maturanza
M
M
Divisione di Chirurgia Generale, Ospedale Evangelico Internazionale, Genova.
Costa
G
G
Gandolfo
F
F
Zamparelli
F
F
Sommariva
S
S
Maritato
F
F
D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001847:Bone Diseases / Q000175:diagnosis / Q000209:etiology*; D002006:Brucellosis / Q000175:diagnosis / Q000188:drug therapy; D002417:Cattle; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D006801:Humans; D007085:Ilium; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000175:diagnosis / Q000209:etiology*; D016658:Psoas Muscles; D012293:Rifampin / Q000627:therapeutic use; D007507:Therapeutic Irrigation
D000900:Anti-Bacterial Agents; D004318:Doxycycline; D012293:Rifampin
Brucellosi a localizzazione osteo-muscolare. Un caso come condizione patologica non infrequente.