Kim Dae-Hyun, Cho Young-Dae
Department of Neurosurgery, Daegu Catholic University, School of Medicine, Daegu, Korea.
J Korean Neurosurg Soc. 2008 Jan;43(1):37-40. doi: 10.3340/jkns.2008.43.1.37. Epub 2008 Jan 20.
Brucellosis, a zoonosis with worldwide distribution, is a systemic infection caused by facultative intracellular bacteria of the genus Brucella, which can involve multiple organs and tissues. We report an uncommon case of spondylodiscitis with epidural abscess due to Brucella in a male stockbreeder. Diagnosis was based on clinical history, and supported by Brucella serology and magnetic resonance imaging. Clinical and radiological improvement were observed with a combined antimicrobial therapy of doxycycline, rifampicin, and gentamycin.
布鲁氏菌病是一种分布于全球的人畜共患病，是由布鲁氏菌属兼性胞内菌引起的全身性感染，可累及多个器官和组织。我们报告了一例男性饲养员因布鲁氏菌感染导致脊椎椎间盘炎并伴有硬膜外脓肿的罕见病例。诊断基于临床病史，并得到布鲁氏菌血清学和磁共振成像的支持。采用强力霉素、利福平和平霉素联合抗菌治疗后，观察到临床和影像学症状有所改善。
