Journal of Korean Neurosurgical Society

  • 제43권1호
  • /
  • Pages.37-40
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  • 2008
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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A Case of Spondylodiscitis with Spinal Epidural Abscess Due to Brucella

  • Kim, Dae-Hyun (Department of Neurosurgery Daegu Catholic University School of Medicine) ;
  • Cho, Young-Dae (Department of Neurosurgery Daegu Catholic University School of Medicine)
  • 발행 : 2008.01.28
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초록

Brucellosis, a zoonosis with worldwide distribution, is a systemic infection caused by facultative intracellular bacteria of the genus Brucella, which can involve multiple organs and tissues. We report an uncommon case of spondylodiscitis with epidural abscess due to Brucella in a male stockbreeder. Diagnosis was based on clinical history, and supported by Brucella serology and magnetic resonance imaging. Clinical and radiological improvement were observed with a combined antimicrobial therapy of doxycycline, rifampicin, and gentamycin.

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참고문헌

  1. Alp E, Koc RK, Durak AC, Yildiz O, Aygen B, Sumerkan B, et al : Doxycycline plus streptomycin versus ciprofloxacin plus rifampicin in spinal brucellosis [ISRCTN31053647]. BMC Infect Dis 6 : 72, 2006 https://doi.org/10.1186/1471-2334-6-72
  2. Applebaum GD, Mathisen G : Spinal brucellosis in a southern California resident. West J Med 166 : 61-65, 1997
  3. Aydin G, Tosun A, Keles I, Ayaslioglu E, Tosun O, Orkun S : Brucellar spondylodiscitis : a case report. Int J Clin Pract 60 : 1502-1505, 2006 https://doi.org/10.1111/j.1742-1241.2005.00656.x
  4. Bayindir Y, Sonmez E, Aladag A, Buyukberber N : Comparsion of five antimicrobial regimens for the treatment of brucellar spondylitis : a prospective, randomized study. J Chemother 15 : 466-471, 2003
  5. Bodur H, Erbay A, Colpan A, Akinic E : Brucellar spondylitis. Rheumatol Int 24 : 221-226, 2004 https://doi.org/10.1007/s00296-003-0350-z
  6. Harman M, Unal O, Onbasi KT, Kiymaz N, Arslan H : Brucellar spondylodiscitis : MRI diagnosis. Clin Imaging 25 : 421-427, 2001 https://doi.org/10.1016/S0899-7071(01)00334-5
  7. Katonis P, Tzermiadianos M, Gikas A, Papagelopoulos P, Hadjipavlou A : Surgical treatment of spinal brucellosis. Clin Orthop Relat Res 444 : 66-72, 2006
  8. Ozaksoy D, Yucesoy K, Yucesoy M, Kovanlikaya I, Naderi S : Brucellar spondylitis : MRI findings. Eur Spine J 10 : 529-533, 2001 https://doi.org/10.1007/s005860100285
  9. Potasman I, Even L, Banai M, Cohen E, Angel D, Jaffe M : Brucellosis : an unusual diagnosis for a seronegative patient with abscesses, osteomyelitis, and ulcerative colitis. Rev Infect Dis 13 : 1039-1042, 1991 https://doi.org/10.1093/clinids/13.6.1039
  10. Sharif HS, Clark DC, Aabed MY, Haddad MC, Al-Deeb SM, Yaqub B, et al : Granulomatous spinal infections : MR imaging. Radiology 177 : 101-107, 1990 https://doi.org/10.1148/radiology.177.1.2399306
  11. Solera J, Lozano E, Martinez-Alfaro E, Espinosa A, Castillejos ML, Abad L : Bucellar spondylitis : review of 35 cases and literature survey. Clin Infect Dis 29 : 1440-1449, 1999 https://doi.org/10.1086/313524
  12. Turgut M, Turgut A, Kosar U : Spinal brucellosis : Turkish experience based on 452 case published during the last century. Act Neurochir (Wien) 148 : 1033-1044, 2006 https://doi.org/10.1007/s00701-006-0877-3
  13. Yilmaz MH, Mete B, Kantarci F, Ozaras R, Ozer H, Mert A, et al : Tuberculous, brucellar and pyogenic spondylitis : comparison of magnetic resonance imaging findings and assessment of its value. South Med J 100 : 613-614, 2007 https://doi.org/10.1097/SMJ.0b013e3180600eaa
  14. Young EJ : An overview of human brucellosis. Clin Infect Dis 21 : 283-289, 1995 https://doi.org/10.1093/clinids/21.2.283
  15. Zormpala A, Skopelitis E, Thanos L, Artinopoulos C, Kordossis T, Sipsas NV : An unusual case of brucellar spondylitis involving both the cervical and lumbar spine. Clin Imaging 24 : 273-275, 2000 https://doi.org/10.1016/S0899-7071(00)00226-6

피인용 문헌

  1. Risk factors associated with the presentation of brucellosis in the spine vol.14, pp.1, 2008, https://doi.org/10.1590/s1808-1851201514010r124
  2. Vertebral Localization of Multifocal Skeletal Tuberculosis: Case Report and Literature Review vol.7, pp.2, 2008, https://doi.org/10.4236/ojmn.2017.72002
  3. First case of cervical epidural abscess caused by brucellosis in Saudi Arabia: A case report and literature review vol.12, pp.None, 2018, https://doi.org/10.1016/j.idcr.2018.04.003