Cobbaert K, Pieters A, Devinck M, Devos M, Goethals I, Mielants H
Departement reumatologie, Universitair Ziekenhuis Gent, De Pintelaan 185, 9000 Gent, België.
Acta Clin Belg. 2007 Sep-Oct;62(5):304-7. doi: 10.1179/acb.2007.046.
Brucellosis is a common zoonosis which still remains a major health problem in certain parts of the world. Osteoarticular involvement is the most frequent complication of brucellosis, in which the diagnosis of brucellar spondylodiscitis is often difficult since the clinical presentation may be obscured by many other conditions. Herein, we report an uncommon case of spondylodiscitis due to Brucella in a male who presented with abdominal pain. The diagnosis was established by positron emission tomography combined with computed tomography (PET/CT scan) and magnetic resonance followed by a confirmation on Brucella-agglutination test and positive culture of computed tomography (CT) guided punction fluid. This case report illustrates an atypical presentation of spondylitis and points out the difficulties in diagnosing the aetiological agens Brucella and differentiating its specific features from tuberculosis.
布鲁氏菌病是一种常见的人畜共患病，在世界某些地区仍然是一个主要的健康问题。骨关节受累是布鲁氏菌病最常见的并发症，其中布鲁氏菌性脊椎间盘炎的诊断往往很困难，因为其临床表现可能被许多其他病症掩盖。在此，我们报告一例罕见的男性布鲁氏菌引起的脊椎间盘炎病例，该患者表现为腹痛。通过正电子发射断层扫描结合计算机断层扫描（PET/CT扫描）和磁共振成像确诊，随后布鲁氏菌凝集试验及计算机断层扫描（CT）引导穿刺液培养阳性进一步证实。本病例报告说明了脊柱炎的非典型表现，并指出了诊断布鲁氏菌病原体的困难以及将其与结核病的特征区分开来的困难。
