Brucellosis complicated by piriformis myositis and sacroiliitis: A case report and a review of the literature
Brucellosis remains an endemic zoonosis in the Middle East, particularly in Lebanon, owing to the high consumption of raw meat and unpasteurized cheese. In this report, we present the case of a twenty-one-year-old girl who was diagnosed with brucellosis during the investigation of persistent fever a...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024046486 |
| _version_ | 1797235528475607040 |
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| author | Nicolas Sandakly Georgio El Koubayati Abir Ayoub Fady Haddad |
| author_facet | Nicolas Sandakly Georgio El Koubayati Abir Ayoub Fady Haddad |
| author_sort | Nicolas Sandakly |
| collection | DOAJ |
| description | Brucellosis remains an endemic zoonosis in the Middle East, particularly in Lebanon, owing to the high consumption of raw meat and unpasteurized cheese. In this report, we present the case of a twenty-one-year-old girl who was diagnosed with brucellosis during the investigation of persistent fever and night sweats that was confirmed by an elevated Brucella agglutination titer at 1/160 for Brucella melitensis species, and an indirect Coombs at 1/1280. Unfortunately, owing to non-adherence to the antibiotic regimen prescribed, her condition progressed, resulting in piriformis myositis with sacroiliitis, an unusual complication of brucellosis. Resolution occurred following a treatment regimen comprising intravenous gentamycin 5mg/kg daily for two weeks along with rifampin 300mg TID, and doxycycline 100mg BID for 12 weeks. Furthermore, we conducted a literature review, which revealed the diagnostic and imaging criteria for this uncommon complication to be still unclear, as well as the lack of universally approved guidelines for its treatment. Brucella - myositis should be suspected when patients present with fever and back pain. |
| first_indexed | 2024-04-24T16:49:24Z |
| format | Article |
| id | doaj.art-3f70430b754b4a4da369b6af2c456db8 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-24T16:49:24Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-3f70430b754b4a4da369b6af2c456db82024-03-29T05:50:44ZengElsevierHeliyon2405-84402024-04-01107e28617Brucellosis complicated by piriformis myositis and sacroiliitis: A case report and a review of the literatureNicolas Sandakly0Georgio El Koubayati1Abir Ayoub2Fady Haddad3Faculty of Medical Sciences, Lebanese University, Hadath Campus, Lebanon; Department of Internal Medicine, Lebanese Hospital Geitaoui University Medical Center, LebanonFaculty of Medical Sciences, Lebanese University, Hadath Campus, Lebanon; Department of Internal Medicine, Lebanese Hospital Geitaoui University Medical Center, Lebanon; Corresponding author. Faculty of Medical Sciences, Lebanese University, Hadath Campus, Lebanon.Faculty of Medical Sciences, Lebanese University, Hadath Campus, Lebanon; Department of Internal Medicine, Lebanese Hospital Geitaoui University Medical Center, LebanonDepartment of Internal Medicine, Lebanese Hospital Geitaoui University Medical Center, LebanonBrucellosis remains an endemic zoonosis in the Middle East, particularly in Lebanon, owing to the high consumption of raw meat and unpasteurized cheese. In this report, we present the case of a twenty-one-year-old girl who was diagnosed with brucellosis during the investigation of persistent fever and night sweats that was confirmed by an elevated Brucella agglutination titer at 1/160 for Brucella melitensis species, and an indirect Coombs at 1/1280. Unfortunately, owing to non-adherence to the antibiotic regimen prescribed, her condition progressed, resulting in piriformis myositis with sacroiliitis, an unusual complication of brucellosis. Resolution occurred following a treatment regimen comprising intravenous gentamycin 5mg/kg daily for two weeks along with rifampin 300mg TID, and doxycycline 100mg BID for 12 weeks. Furthermore, we conducted a literature review, which revealed the diagnostic and imaging criteria for this uncommon complication to be still unclear, as well as the lack of universally approved guidelines for its treatment. Brucella - myositis should be suspected when patients present with fever and back pain.http://www.sciencedirect.com/science/article/pii/S2405844024046486BrucellosisUndulant feverPiriformis myositisMyositisSacroiliitis |
| spellingShingle | Nicolas Sandakly Georgio El Koubayati Abir Ayoub Fady Haddad Brucellosis complicated by piriformis myositis and sacroiliitis: A case report and a review of the literature Heliyon Brucellosis Undulant fever Piriformis myositis Myositis Sacroiliitis |
| title | Brucellosis complicated by piriformis myositis and sacroiliitis: A case report and a review of the literature |
| title_full | Brucellosis complicated by piriformis myositis and sacroiliitis: A case report and a review of the literature |
| title_fullStr | Brucellosis complicated by piriformis myositis and sacroiliitis: A case report and a review of the literature |
| title_full_unstemmed | Brucellosis complicated by piriformis myositis and sacroiliitis: A case report and a review of the literature |
| title_short | Brucellosis complicated by piriformis myositis and sacroiliitis: A case report and a review of the literature |
| title_sort | brucellosis complicated by piriformis myositis and sacroiliitis a case report and a review of the literature |
| topic | Brucellosis Undulant fever Piriformis myositis Myositis Sacroiliitis |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024046486 |
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