Svenningsen Maya, Dalgaard Lars Skov, Leth Steffen
Ugeskr Laeger. 2019 Feb 11;181(7).
This is a case report of a 76-year-old man with spondylodiscitis caused by Brucella melitensis. He was admitted to hospital due to backpain, weight loss and elevated C-reactive protein level. MRI showed signs of multifocal spondylodiscitis, and blood cultures yielded B. melitensis. The patient was most likely infected through consumption of unpasteurised camel milk. Antibiotic treatment was initiated with good effect. Although bru-cellosis is rare in Denmark, correct diagnosis is important due to the high morbidity, the specific antibiotic treatment needed and the necessary laboratory precautions.
这是一例由羊布鲁氏菌引起的脊椎椎间盘炎的76岁男性病例报告。他因背痛、体重减轻和C反应蛋白水平升高入院。磁共振成像显示多灶性脊椎椎间盘炎迹象，血培养检出羊布鲁氏菌。该患者很可能因饮用未经巴氏消毒的骆驼奶而感染。开始抗生素治疗后效果良好。尽管布鲁氏菌病在丹麦很罕见，但由于其高发病率、所需的特定抗生素治疗以及必要的实验室预防措施，正确诊断很重要。
