A case of brucellar spondylodiscitis involving the cervical spine.
We have presented a patient of 71-year-age with brucellar spondylodiscitis, involving the cervical spine, especially the C3-C4 segment. The patient had painful percussion of the cervical spine and passive mobilization of the neck, decreased range of motion, and cervical paravertebral tenderness; but no abnormalities observed on neurological examination. Wright agglutination test for brucella was positive at 1/320. Cervical localization for brucellar spondylodiscitis is an unusual case and should be detected and treated as early as possible. In endemic regions, spinal involvement of brucellosis should be considered in cases with fever, neck and low back pain.
Nas
Kemal
K
Department of Physical Medicine and Rehabilitation, School of Medicine, Dicle University, Diyarbakir, Turkey. knas@dicle.edu.tr
Bükte
Yasar
Y
Ustün
Cemal
C
Cevik
Remzi
R
Geyik
Mehmet Faruk
MF
Batmaz
Ibrahim
I
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002006:Brucellosis / Q000175:diagnosis* / Q000188:drug therapy; D002574:Cervical Vertebrae / Q000382:microbiology*; D015299:Discitis / Q000382:microbiology* / Q000534:rehabilitation; D004318:Doxycycline / Q000627:therapeutic use; D004338:Drug Combinations; D004359:Drug Therapy, Combination; D005081:Exercise Therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012293:Rifampin / Q000627:therapeutic use; D013148:Spironolactone; D013449:Sulfonamides
D000900:Anti-Bacterial Agents; D004338:Drug Combinations; D013449:Sulfonamides; D013148:Spironolactone; C026063:spironolactone, althiazide drug combination; D004318:Doxycycline; D012293:Rifampin