Beware of Brucella Spondylitis Following Vertebroplasty: An Unusual Case of Osteoporotic Vertebral Compression Fracture

Jie Wang, Qiang Zhang Department of Orthopedics, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, People’s Republic of ChinaCorrespondence: Qiang Zhang, Email zhangqianggk@sina.comAbstract: There are two main types of infectious spondylitis reported in literature following kyphop...

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Bibliographic Details
Main Authors: Wang J, Zhang Q
Format: Article
Language:English
Published: Dove Medical Press 2022-05-01
Series:Infection and Drug Resistance
Subjects:
Online Access:https://www.dovepress.com/beware-of-brucella-spondylitis-following-vertebroplasty-an-unusual-cas-peer-reviewed-fulltext-article-IDR
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Summary:Jie Wang, Qiang Zhang Department of Orthopedics, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, People’s Republic of ChinaCorrespondence: Qiang Zhang, Email zhangqianggk@sina.comAbstract: There are two main types of infectious spondylitis reported in literature following kyphoplasty or vertebroplasty: tuberculous spondylitis and pyogenic spondylitis; no cases of Brucella spondylitis have been reported to date. We present a unique case of Brucella spondylitis with intraspinal abscess following vertebroplasty. The patient suffered from osteoporotic vertebral compression fracture (OVCF) of the L4 vertebra and received vertebroplasty; he ate mutton while traveling in the epidemic area a week before vertebroplasty. Two weeks after the procedure, the patient had recurrent low back pain and was finally diagnosed with Brucella spondylitis around the L4 vertebra four months later. This case report provides a warning that eating any undercooked food that may cause bacteremia—especially in orthopedic patients with joint or osseous abnormalities and especially those with intraosseous devices or injected substances.Keywords: vertebroplasty, complication, Brucella, spondylitis
ISSN:1178-6973