Ozden Mehmet, Demirdag Kutbettin, Kalkan Ahmet, Ozdemir Huseyin, Yuce Pinar
Department of Infectious Diseases and Clinical Microbiology, Firat University, Faculty of Medicine, Elazig, Turkey.
South Med J. 2005 Feb;98(2):229-31. doi: 10.1097/01.SMJ.0000152755.07937.60.
Brucellosis is a zoonosis that affects several organs and has a protean presentation. The authors report the case of a 61-year-old male patient with brucellar spondylodiscitis involving several vertebrae and a paravertebral abscess localized in the erector spinae muscle. Diagnosis was made by positive blood culture and MRI. No relapse was seen with a combined treatment (doxycycline/rifampin) for 3 months, followed by doxycycline alone for 6 months. Almost all radiologic findings disappeared at the end of a 1-year follow-up without any further treatment.
布鲁氏菌病是一种人畜共患病,可累及多个器官,临床表现多样。作者报告了一例61岁男性患者,患有累及多个椎体的布鲁氏菌性脊椎间盘炎以及位于竖脊肌的椎旁脓肿。通过血培养阳性和磁共振成像(MRI)确诊。采用多西环素/利福平联合治疗3个月,随后单独使用多西环素治疗6个月,未出现复发情况。在1年的随访结束时,几乎所有影像学表现均消失,无需进一步治疗。