Brucellaspondylodiscitis and Paravertebral Abscess with Negative Serology: A Case Report

Background and Objectives: Brucellosis is a common zoonosis which still remains as a major health problem in certain parts of the world. Osteoarticular involvement is the most frequent complication of brucellosis, in which the diagnosis of brucellarspondylodiscitis is often difficult, since the clin...

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Main Authors: Farazi A.A., Didgar F., Ghandi A.R., Soofian M.
Format: Article
Language:fas
Published: Qom University of Medical Sciences 2012-04-01
Series:Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum
Subjects:
Online Access:http://journal.muq.ac.ir/library/upload/article/af_664222322423533228238643263422735322568391.21.15.pdf
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author Farazi A.A.
Didgar F.
Ghandi A.R.
Soofian M.
author_facet Farazi A.A.
Didgar F.
Ghandi A.R.
Soofian M.
author_sort Farazi A.A.
collection DOAJ
description Background and Objectives: Brucellosis is a common zoonosis which still remains as a major health problem in certain parts of the world. Osteoarticular involvement is the most frequent complication of brucellosis, in which the diagnosis of brucellarspondylodiscitis is often difficult, since the clinical presentation may be obscured by many other conditions.Case Report: We report an uncommon case of spondylodiscitis with paravertebral abscess. The diagnosis was established by using magnetic resonance imaging that was also confirmed by positive culture. This report describes a case of a 42-year-old woman. Serodiagnosis for brucella carried out at the onset of symptoms 4 months and 1.5 months before admission were negative. When the patient was admitted to our hospital, laboratory tests showed negative agglutination, and ELISA test for brucella and magnetic resonance imaging confirmed the presence of a paravertebral abscess around the affected disc and tissue edema. Culture of needle aspiration of abscess tissue was positive for brucella melitensis.
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spelling doaj.art-3625ba6545454afbb827f45f968e57c32022-12-21T19:11:38ZfasQom University of Medical SciencesMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum1735-77992008-13752012-04-016199103Brucellaspondylodiscitis and Paravertebral Abscess with Negative Serology: A Case ReportFarazi A.A.Didgar F.Ghandi A.R.Soofian M.Background and Objectives: Brucellosis is a common zoonosis which still remains as a major health problem in certain parts of the world. Osteoarticular involvement is the most frequent complication of brucellosis, in which the diagnosis of brucellarspondylodiscitis is often difficult, since the clinical presentation may be obscured by many other conditions.Case Report: We report an uncommon case of spondylodiscitis with paravertebral abscess. The diagnosis was established by using magnetic resonance imaging that was also confirmed by positive culture. This report describes a case of a 42-year-old woman. Serodiagnosis for brucella carried out at the onset of symptoms 4 months and 1.5 months before admission were negative. When the patient was admitted to our hospital, laboratory tests showed negative agglutination, and ELISA test for brucella and magnetic resonance imaging confirmed the presence of a paravertebral abscess around the affected disc and tissue edema. Culture of needle aspiration of abscess tissue was positive for brucella melitensis.http://journal.muq.ac.ir/library/upload/article/af_664222322423533228238643263422735322568391.21.15.pdfAbscessBrucellaSpondylitisSerologic Tests
spellingShingle Farazi A.A.
Didgar F.
Ghandi A.R.
Soofian M.
Brucellaspondylodiscitis and Paravertebral Abscess with Negative Serology: A Case Report
Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum
Abscess
Brucella
Spondylitis
Serologic Tests
title Brucellaspondylodiscitis and Paravertebral Abscess with Negative Serology: A Case Report
title_full Brucellaspondylodiscitis and Paravertebral Abscess with Negative Serology: A Case Report
title_fullStr Brucellaspondylodiscitis and Paravertebral Abscess with Negative Serology: A Case Report
title_full_unstemmed Brucellaspondylodiscitis and Paravertebral Abscess with Negative Serology: A Case Report
title_short Brucellaspondylodiscitis and Paravertebral Abscess with Negative Serology: A Case Report
title_sort brucellaspondylodiscitis and paravertebral abscess with negative serology a case report
topic Abscess
Brucella
Spondylitis
Serologic Tests
url http://journal.muq.ac.ir/library/upload/article/af_664222322423533228238643263422735322568391.21.15.pdf
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AT didgarf brucellaspondylodiscitisandparavertebralabscesswithnegativeserologyacasereport
AT ghandiar brucellaspondylodiscitisandparavertebralabscesswithnegativeserologyacasereport
AT soofianm brucellaspondylodiscitisandparavertebralabscesswithnegativeserologyacasereport