Skeletal Radiology

, Volume 37, Issue 9, pp 785–790 | Cite as

Spinal brucellosis: a review

  • Mouna Chelli Bouaziz
  • Mohamed Fethi Ladeb
  • Mohamed Chakroun
  • Skander Chaabane
Review Article

Abstract

Brucellosis is a zoonosis of worldwide distribution, relatively frequent in Mediterranean countries and in the Middle East. It is a systemic infection, caused by facultative intra-cellular bacteria of the genus Brucella, that can involve many organs and tissues. The spine is the most common site of musculoskeletal involvement, followed by the sacroiliac joints. The aim of this study was to assess the clinical, biological and imaging features of spinal brucellosis.

Keywords

Brucella Infection Spine Radiograph CT MRI 

References

  1. 1.
    Harman M, Unal O, Onbasi KT. Brucellar spondylodiscitis MRI diagnosis. J Clin Imaging 2001; 25: 421–427.CrossRefGoogle Scholar
  2. 2.
    Sharif HS, Aiden OA, Clark DC. Brucellar and tuberculous spondylitis: comparative imaging features. Radiology 1989; 171: 419–425.PubMedGoogle Scholar
  3. 3.
    Zorompala A, Skopelitis E, Thanos L. An unusual case of brucellar spondylitis involving both the cervical and lumbar spine. J Clin Imaging 2000; 24: 273–275.CrossRefGoogle Scholar
  4. 4.
    Turgut Tali E. Spinal infections. Eur J Radiol 2004; 50: 120–133.PubMedCrossRefGoogle Scholar
  5. 5.
    Sharif HS, Clark DC, Aabed MY. Granulomatous spinal infections: MR imaging. Radiology 1990; 177: 101–107.PubMedGoogle Scholar
  6. 6.
    Resnick D (ed). Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: Saunders, 1995; 4: 2448–2558.Google Scholar
  7. 7.
    Al-Shahed MS, Sharif HS, Haddad MC, Aabed MY, Sammak BM, Mutairi MA. Imaging features of musculoskeletal brucellosis. Radiographics 1994; 14: 333–348.PubMedGoogle Scholar
  8. 8.
    Pappas G, Akriditis N, Bosilkovski M, Tsianos E. Brucellosis. N Engl J Med 2005; 352: 2325–2336.PubMedCrossRefGoogle Scholar
  9. 9.
    Hamza M, Elleuch M, Amara A, et al. Brucellose pelvirachidienne a propos de quinze patients tunisiens. Sem Hop Paris 1990; 66: 1939–1943.Google Scholar
  10. 10.
    Ben Taarit CH, Turki S, Ben Maiz H. Spondylodiscites infectieuses: étude d’une série de 151 cas. Acta Orthop Belg 2002; 68: 381–387.PubMedGoogle Scholar
  11. 11.
    El-Desouki M. Skeletal brucellosis: assessment with bone scintigraphy. Radiology 1991; 181: 415–418.PubMedGoogle Scholar
  12. 12.
    Lifeso RM, Harder E, Mc Corkell SJ. Spinal brucellosis. J Bone Joint Surg 1985; 67: 345–351.Google Scholar
  13. 13.
    Madkour MM, Sharif HS, Aabed MY, Al Fayez Ma. Osteoarticular brucellosis: results of bone scintigraphy in 140 patients. AJR Am J Roentgenol 1988; 150: 1101–1105.PubMedGoogle Scholar
  14. 14.
    Giroud M, Page G, Thepaut L, Olliver JP, Quezode P. Abcès pseudo-pottique au cours d’une spondylodiscite mélitococcique. Lyon Med 1978; 239: 755–758.Google Scholar
  15. 15.
    Pourbagher A, Pourbagher MA, Savas L, et al. Epidemiologic, clinical and imaging findings in brucellosis patients with osteoarticular involvement. AJR Am J Roentgenol 2006; 187: 873–880.PubMedCrossRefGoogle Scholar
  16. 16.
    Andriopoulos P, Tsironi M, Deftereos S, Aessopos A, Assimakopoulos G. Acute brucellosis: presentation, diagnosis and treatment of 144 cases. Int J Infect Dis 2007; 11: 62–67.CrossRefGoogle Scholar
  17. 17.
    Solera J, Solis-Garcia del Pozo J. Brucellosis of the spine. In: Leong J, Govender S, eds. Inflammatory diseases of the spine. Singapore: TTG Asia Media; 2003.Google Scholar
  18. 18.
    Ghozlan R, Boissy M, Caruel N. Epidurite lombaire révélatrice d’une spondylodiscite mélitococcique. Rev Rhum 1981; 48: 60–63.PubMedGoogle Scholar
  19. 19.
    Ariza J, Gudiol F, Pallares R, et al. Treatment of human brucellosis with doxycycline plus rifampicin or doxycycline plus streptomycin. Ann Intern Med 1992; 117: 25–30.PubMedGoogle Scholar

Copyright information

© ISS 2007

Authors and Affiliations

  • Mouna Chelli Bouaziz
    • 1
  • Mohamed Fethi Ladeb
    • 1
  • Mohamed Chakroun
    • 1
  • Skander Chaabane
    • 1
  1. 1.Department of RadiologyInstitut M T Kassab d’orthopédieKsar SaidTunisia

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