Bodur Hürrem, Erbay Ayse, Colpan Aylin, Akinci Esragül
Department of Infectious Diseases and Clinical Microbiology, Ankara Numune Education and Research Hospital, Ankara, Turkey.
Rheumatol Int. 2004 Jul;24(4):221-6. doi: 10.1007/s00296-003-0350-z. Epub 2003 Jul 16.
We carried out a prospective analysis of 86 patients with brucellosis, and 26 (30%) cases were diagnosed as brucellar spondylitis. Two patients had cervical involvement, two thoracic, and 21 lumbosacral as seen in MRI. Four patients had epidural abscess and two had paravertebral abscess. All patients received combined antibiotic therapy for 4 to 12 months. Those with cervical involvement underwent surgical treatment because of medullar compression. Neither death nor severe sequelae were observed.
我们对86例布鲁氏菌病患者进行了前瞻性分析，其中26例（30%）被诊断为布鲁氏菌性脊柱炎。MRI显示，2例患者颈椎受累，2例胸椎受累，21例腰骶椎受累。4例患者有硬膜外脓肿，2例有椎旁脓肿。所有患者均接受了4至12个月的联合抗生素治疗。颈椎受累的患者因脊髓受压接受了手术治疗。未观察到死亡或严重后遗症。
