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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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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author Wang J
Zhang Q
author_facet Wang J
Zhang Q
author_sort Wang J
collection DOAJ
description 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
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spelling doaj.art-acef624870a144caaffd0c9cb076a7c92022-12-22T00:36:06ZengDove Medical PressInfection and Drug Resistance1178-69732022-05-01Volume 152565257275381Beware of Brucella Spondylitis Following Vertebroplasty: An Unusual Case of Osteoporotic Vertebral Compression FractureWang JZhang QJie 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, spondylitishttps://www.dovepress.com/beware-of-brucella-spondylitis-following-vertebroplasty-an-unusual-cas-peer-reviewed-fulltext-article-IDRvertebroplastycomplicationbrucellaspondylitis
spellingShingle Wang J
Zhang Q
Beware of Brucella Spondylitis Following Vertebroplasty: An Unusual Case of Osteoporotic Vertebral Compression Fracture
Infection and Drug Resistance
vertebroplasty
complication
brucella
spondylitis
title Beware of Brucella Spondylitis Following Vertebroplasty: An Unusual Case of Osteoporotic Vertebral Compression Fracture
title_full Beware of Brucella Spondylitis Following Vertebroplasty: An Unusual Case of Osteoporotic Vertebral Compression Fracture
title_fullStr Beware of Brucella Spondylitis Following Vertebroplasty: An Unusual Case of Osteoporotic Vertebral Compression Fracture
title_full_unstemmed Beware of Brucella Spondylitis Following Vertebroplasty: An Unusual Case of Osteoporotic Vertebral Compression Fracture
title_short Beware of Brucella Spondylitis Following Vertebroplasty: An Unusual Case of Osteoporotic Vertebral Compression Fracture
title_sort beware of brucella spondylitis following vertebroplasty an unusual case of osteoporotic vertebral compression fracture
topic vertebroplasty
complication
brucella
spondylitis
url https://www.dovepress.com/beware-of-brucella-spondylitis-following-vertebroplasty-an-unusual-cas-peer-reviewed-fulltext-article-IDR
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