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Brucellar Spondylitis as a Complication of Brucellosis

  • Mitra RanjbarEmail author
  • Ahmet Tuncay Turgut
  • Marzieh Nojomi
  • Mehmet Turgut
Chapter

Abstract

Brucellosis, being a systemic disease, may affect many organ systems. The involvement of the musculoskeletal involvement is associated with 10–85 % of the focal complications. Spinal involvement is one of the most commonly encountered localized forms of human brucellosis. It is a destructive disease process requiring a correct and early diagnosis and an immediate treatment. Spinal brucellosis is more prevalent in older patients or in subjects with prolonged illness prior to treatment. The lumbar vertebrae are involved more frequently than the thoracic and cervical ones. Paravertebral, epidural, and psoas abscess can occur in the setting of brucellar spondylitis. Medical treatment for brucellar spondylitis should consist of two antibiotic agents for at least 12 weeks.

Keywords

Brucella Brucellosis Spondylitis 

Abbreviations

CRP

C-reactive protein

CT

Computed tomography

ELISA

Immunocapture enzyme-linked immunosorbent assay

ESR

Erythrocyte sedimentation rate

HNP

Herniated nucleus pulposus

MRI

Magnetic resonance imaging

PET

Positron emission tomography

SUVmax

Maximum standardized uptake value

TMP/SMX

Trimethoprim/sulfamethoxazole

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Mitra Ranjbar
    • 1
    Email author
  • Ahmet Tuncay Turgut
    • 2
  • Marzieh Nojomi
    • 3
  • Mehmet Turgut
    • 4
  1. 1.Department of Infectious DiseasesIran University of Medical SciencesTehranIran
  2. 2.Department of RadiologyHacettepe University School of MedicineAnkaraTurkey
  3. 3.Department of Community MedicineIran University of Medical SciencesTehranIran
  4. 4.Department of NeurosurgeryAdnan Menderes University School of MedicineAydınTurkey

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