Ekici Mehmet Ali, Ozbek Zühtü, Gökoğlu Abdülkerim, Menkü Ahmet
Department of Neurosurgery, Şevket Yılmaz Training and Research Hospital, Mimar Sinan Ward. Emniyet Avenue, Bursa, Turkey.
J Korean Neurosurg Soc. 2012 Jun;51(6):383-7. doi: 10.3340/jkns.2012.51.6.383. Epub 2012 Jun 30.
Spinal epidural abscess, if especially caused by Brucellosis is a very rare disease which is usually a consequence of spondylodiscitis. The spinal column can be affected at any joint; however, the lumbar spine is the most common region, especially at the level of the L4-5 and L5-S1. The frequency of spinal involvement usually seen at the lumbar, thoracic and cervical spine respectively. As an occupational disease in farmers, veterinaries, butchers, laboratory staff and shepherds, brucellosis can also occur by direct contact to animals and infected materials or ingestion of raw cheese, milk or unpasteurized milk products. In this study, we presented two cases with cervical spinal epidural abscess caused by brucella melitensis, which was successfully treated by surgical approach. Initial treatment was combined with antibiotic therapy after the surgery for 3 months.
脊柱硬膜外脓肿，如果特别是由布鲁氏菌病引起的，是一种非常罕见的疾病，通常是脊椎间盘炎的后果。脊柱的任何关节都可能受到影响；然而，腰椎是最常见的部位，尤其是在L4 - 5和L5 - S1水平。脊柱受累的频率通常分别见于腰椎、胸椎和颈椎。作为农民、兽医、屠夫、实验室工作人员和牧羊人等职业的职业病，布鲁氏菌病也可通过直接接触动物和受感染材料或摄入生奶酪、牛奶或未巴氏消毒的奶制品而发生。在本研究中，我们报告了两例由羊布鲁氏菌引起的颈椎硬膜外脓肿病例，通过手术方法成功治疗。术后初始治疗联合抗生素治疗3个月。
