Nas Kemal, Bükte Yasar, Ustün Cemal, Cevik Remzi, Geyik Mehmet Faruk, Batmaz Ibrahim
Department of Physical Medicine and Rehabilitation, School of Medicine, Dicle University, Diyarbakir, Turkey.
J Back Musculoskelet Rehabil. 2009;22(2):121-3. doi: 10.3233/BMR-2009-0216.
We have presented a patient of 71-year-age with brucellar spondylodiscitis, involving the cervical spine, especially the C3-C4 segment. The patient had painful percussion of the cervical spine and passive mobilization of the neck, decreased range of motion, and cervical paravertebral tenderness; but no abnormalities observed on neurological examination. Wright agglutination test for brucella was positive at 1/320. Cervical localization for brucellar spondylodiscitis is an unusual case and should be detected and treated as early as possible. In endemic regions, spinal involvement of brucellosis should be considered in cases with fever, neck and low back pain.
我们报告了一例71岁患有布鲁氏菌性脊椎间盘炎的患者,病变累及颈椎,尤其是C3 - C4节段。患者颈椎有压痛,颈部被动活动时疼痛,活动范围减小,颈椎旁有压痛;但神经系统检查未发现异常。布鲁氏菌的wright凝集试验结果为1/320阳性。布鲁氏菌性脊椎间盘炎累及颈椎是一种罕见病例,应尽早发现并治疗。在流行地区,对于发热、颈部和腰背痛的病例应考虑布鲁氏菌病累及脊柱的情况。