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Cervical Spine Spondylitis with an Epidural Abscess in a Patient with Brucellosis: A Case Report Cover

Cervical Spine Spondylitis with an Epidural Abscess in a Patient with Brucellosis: A Case Report

Open Access
|Aug 2019

Abstract

Introduction

Human brucellosis, the most prevalent zoonotic disease worldwide, is a systemic infection which can involve several organs. Among musculoskeletal complaints, spondylitis is the most frequent complication of brucellosis and primarily affects the lumbar and thoracic vertebrae. The involvement of the cervical spine is infrequent.

Case report

This case report concerns an unusual case of cervical spine spondylitis with an epidural abscess due to Brucella in a 43-year-old man. The diagnosis was based on the patient being domiciled in an endemic region, his symptoms and his occupation. Clinical outcomes improved following antimicrobial therapy of rifampin, doxycycline, and gentamycin, and were confirmed radiologically.

Conclusion

Early diagnosis and treatment are crucial for these patients. The timely commencement of medical treatment can help prevent surgery.

DOI: https://doi.org/10.2478/jccm-2019-0013 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 103 - 106
Submitted on: Dec 29, 2018
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Accepted on: May 15, 2019
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Published on: Aug 9, 2019
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2019 Mohammad Reza Hasanjani Roushan, Soheil Ebrahimpour, Zeinab Mohseni Afshar, Arefeh Babazadeh, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.