title: Bilateral sacroiliitis and uveitis comorbidity: brucellosis? Ankylosing spondylitis?
abstract: We present a rare case of a comorbidity of sacroiliitis and brucellosis infection. A 28-year-old woman received irregular medication due to ongoing backache and hip pain for 5 years. The patient presented to our hospital for evaluation of visual loss and was diagnosed with uveitis. Sacroiliac MRI was performed to investigate the inflammatory backache and hip pain, and the aetiology of the uveitis, revealing the presence of sacroiliitis. The patient's blood test results were as follows: positive brucellosis Rose Bengal test and positive tube agglutination test with a titre of 1/640. The patient was treated with doxycycline and rifampicin for 8 weeks for the brucellosis infection, and with acemetacin for the ankylosing spondylitis. The patient's back and hip pain decreased significantly 8 weeks later; however, the uveitis was not controlled by the treatment. Therefore, anti-tumour necrosis factor (infliximab) treatment was started.
authors.affiliation: Department of İnternal Medicine Division of Rheumatology, Ondokuz Mayıs University Hospital, Samsun, Turkey.
authors.forename: Lütfi
authors.initials: L
authors.lastname: Akyol
authors.affiliation: Department of Radiology, 19 Mayıs University Hospital, Samsun, Turkey.
authors.forename: Kerim
authors.initials: K
authors.lastname: Aslan
authors.affiliation: Department of İnternal Medicine Division of Rheumatology, Ondokuz Mayıs University Hospital, Samsun, Turkey.
authors.forename: Metin
authors.initials: M
authors.lastname: Özgen
authors.affiliation: Department of İnternal Medicine Division of Rheumatology, Ondokuz Mayıs University Hospital, Samsun, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Sayarlioglu
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001416:Back Pain / Q000175:diagnosis / Q000209:etiology; D002006:Brucellosis / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006801:Humans; D012446:Sacroiliac Joint / Q000473:pathology*; D058566:Sacroiliitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013167:Spondylitis, Ankylosing / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D014602:Uvea / Q000473:pathology*; D014605:Uveitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D015354:Vision, Low / Q000175:diagnosis / Q000209:etiology
chemical_list: D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal