de Mello Caroline Castro Figueira, de Souza Daltono Umberto, Glória Francisco Antônio Capita, Moura Leonardo Oliveira, de Mello George Castro Figueira
Setor Clínica Médica, Hospital Regional de Taguatinga, Taguatinga, DF.
Rev Soc Bras Med Trop. 2007 Jul-Aug;40(4):469-72. doi: 10.1590/s0037-86822007000400019.
A case of spondylodiscitis due to Brucella with systematic manifestation of the disease, in a 56-year-old male patient who was a farmer, is reported. The diagnosis was made from serological tests, with a titer of 1/160. The blood culture was positive and the blood sedimentation rate was high. Radiological abnormalities showed spondylodiscitis at the T8/T9 level that were compatible with this disease. The patient was treated with streptomycin at 1g IM/day for 15 days, and doxycycline plus rifampicin for six weeks, with a clinical improvement in the condition. Vertebral involvement in brucellosis is a complication of variable occurrence in the literature. However, it is considered to be infrequent and difficult to diagnose, particularly in regions with high prevalence of tuberculosis, given that this may mimic conditions of brucellosis. Attention is drawn to this rare case of spondylodiscitis due to brucellosis, given the need for early diagnosis and treatment in order to avoid possible sequelae.
报告了一例56岁男性农民布鲁氏菌引起的脊椎椎间盘炎病例，该疾病有全身表现。诊断依据血清学检测，滴度为1/160。血培养呈阳性，血沉率升高。影像学异常显示T8/T9水平的脊椎椎间盘炎，与该疾病相符。患者接受了为期15天、每天1g链霉素肌肉注射的治疗，以及为期六周的强力霉素加利福平治疗，病情有临床改善。布鲁氏菌病的椎体受累在文献中是一种发生率不一的并发症。然而，它被认为并不常见且难以诊断，尤其是在结核病高发地区，因为它可能与布鲁氏菌病的情况相似。鉴于需要早期诊断和治疗以避免可能的后遗症，提请注意这例罕见的布鲁氏菌病引起的脊椎椎间盘炎病例。
