Noncontiguous dual segment thoracic brucellosis with neurological deficit.
BACKGROUND
Brucellosis can affect the musculoskeletal system, and bony involvement ranges from 2% to 70% in the literature. Spinal brucellosis is generally localized to the sacroiliac region; thoracic brucellosis is rarely seen.


OBJECTIVE
To present a case with noncontiguous multilevel thoracic brucellosis with spinal cord compression.


METHODS
Case report.


METHODS
The patient underwent aggressive surgical debridement (posterior decompression, fusion and stabilization, and two noncontiguous level anterior corpectomy and fusion procedures with titanium mesh cages).


RESULTS
At the latest follow-up of 2 years, her clinical, radiological, and laboratory examination showed no recurrence of infection. The neurological examination was completely normal.


CONCLUSIONS
Early aggressive debridement and stabilization together with medical treatment, especially in the elderly and immunocompromised patients, would be the most beneficial treatment for eradication of pathology.
Tezer
Mehmet
M
Istanbul Spine Center, Florence Nightingale Hospital, Abide-I Hürriyet Caddesi No: 290 80220, Sişli, Istanbul, Turkey.
Ozturk
Cagatay
C
Aydogan
Mehmet
M
Camurdan
Koray
K
Erturer
Erden
E
Hamzaoglu
Azmi
A
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001416:Back Pain / Q000209:etiology; D002006:Brucellosis / Q000150:complications* / Q000503:physiopathology* / Q000628:therapy; D003646:Debridement; D005260:Female; D006801:Humans; D016268:Internal Fixators; D008279:Magnetic Resonance Imaging; D013117:Spinal Cord Compression / Q000209:etiology*; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000382:microbiology / Q000473:pathology*
D000900:Anti-Bacterial Agents