Summary
We are reporting a case of culture-proven brucella sacro-iliitis. The treatment included surgical drainage and curettage together with tetracycline and streptomycin. A five-year follow-up showed complete cure: the patient was free of symptoms, the sacro-iliac joint was normal and a serologic test negative. The diagnostic difficulties, the differential diagnosis and the appropriate treatment are also discussed in this paper.
Zusammenfassung
Wir berichten über einen Fall von kulturell gesicherter Brucella Sakroiliitis. Neben chirurgischer Drainage und Curettage erfolgte eine Behandlung mit Tetracyclin und Streptomycin. Die Nachuntersuchung nach fünf Jahren ließ auf vollkommene Heilung schließen: der Patient war beschwerdefrei, das Sakroiliakalgelenk war ohne Befund und ein serologischer Test negativ. Die diagnostischen Probleme, Differentialdiagnose und geeignete therapeutische Maßnahmen werden in die Diskussion einbezogen.
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Literature
Arct, W. A. Sacro-iliac joint damage due to brucellosis. Wiad. Lek. 22 (1969) 1753–1758.
Keenan, J. D., Metz, C. W. Brucella spondylitis. Clin. Orthop. 82 (1972) 87–91.
Spink, W. W. The nature of brucellosis. The University of Minnesota Press, Minneapolis 1965, pp. 175–180, 315–316.
Bishop, W. A. Vertebral lesions in undulant fever. J. Bone Joint Surg. 21 (1939) 665–673.
Kelly, P. J., Martin, W. J., Schirgen, A., Weed, L. A. Brucellosis of the bones and joints. J. Am. Med. Assoc. 174 (1960) 347–353.
Mantle, J. A. Brucellar spondylitis. J. Bone Joint Surg. 37B (1955) 456–461.
Steinberg, C. L. Brucellosis as a cause of sacro-iliac arthritis. J. Am. Med. Assoc. 138 (1948) 15–19.
Minasyan, A. M. Clinico-roentgenological changes in brucellosis sacro-iliitis in the light of remote control. Vestn. Roentgenol. Radiol. 44 (1939) 21–26.
Serre, H., Simon, L., Claustre, J. Les sacro-iléites mélitococciques. Sem. Hôp. Paris 46 (1970) 3311–3317.
Cuartero, A. R., Cara, E. D. La brucellosis osteoarticular en la provincia de Granada. Rev. Clin. Esp. 133 (1973) 57–64.
Jones, R. T.: A brief survey of the orthopaedic aspects of brucellosis in Central Africa. Cent. Afr. J. Med. Vol. no. I/1 (1955) 16–24.
Adam, A., MacDonald, A., Mackenzie, I. G. Monoarticular brucellar arthritis in children. J. Bone Joint Surg. 56 (1974) 217.
Harris, H. J. Brucellosis. Paul B. Hoeken, New York 1950, pp. 204–205.
Lowe, G. H., Lipscomb, Pr. R. Brucellosis osteomyelitis. Surgery 22 (1947) 525–529.
Makin, M., Alkalai, I., Rozansky, R. Monoarticular brucellar arthritis. J. Bone Joint Surg. 39 (1957) 1183–1186.
Seal, P. V., Morris, C. A. Brucellosis of the carpus. J. Bone Joint Surg. 56B (1977) 327–330.
Ganado, W. Human brucellosis — some clinical observations. Scott. Med. J. 10 (1965) 451–460.
Otaraev, J. B., Otaraeva, B. Diagnosis and treatment of the inflammation of the sacro-iliac joint of brucellosis origin. Sov. Med. 30 (1975) 150–152.
Hardy, A. V., Jordan, C. F., Borts, I. H., Hardy, G. C.: Undulant fever: with the special reference to a study of brucella infections in Iowa. United States National Health Bulletin No. 158 (1931) 89.
Young, E. J., Syrahnsporrat, N. Brucellosis outbreak attributed to ingestion of unpasteurized goat cheese. Arch. Int. Med. 135 (1975) 240–243.
Sabbaghion, H.: Fresh white cheese as a source of brucella infection. Public Health (1975) 165–169.
Dynn, J., Bryan, D. M., Nugent, J. J., Robinson, R. A. Pyogenic infections of the sacro-iliac joint. Clin. Orthop. 118 (1976) 113–117.
Buchanan, T. M., Feben, H. C., Feldman, R. D. Brucellosis in the United States 1960–1972. An abattoir associated disease. Part 1. Clinical Features and Therapy. Medicine 53 (1974) 403–413.
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Porat, S., Shapiro, M. Brucella arthritis of the sacro-iliac joint. Infection 12, 205–207 (1984). https://doi.org/10.1007/BF01640901
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DOI: https://doi.org/10.1007/BF01640901