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Comparative analysis of tuberculous and brucellar spondylodiscitis.
MedLine Citation:
PMID:  21724688     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Our aim was to compare the clinical, radiological and prognostic features of spontaneous spondylodiscitis secondary to tuberculosis (TS) and brucellosis (BS). This prospective study involved 41 patients diagnosed with spondylodiscitis. Of these, 18 (43.1%) had BS and 23 (56.1%) had TS. The mean age of TS patients was 52 ± 13.43 years and older than BS patients (P < 0.001). A prolonged clinical course of the disease, constitutional symptoms, lymphocytosis, increased erythrocyte sedimentation rate (ESR), presence of posterior vertebrae lesions and psoas abscesses were significantly more frequent in the TS group. There are significant clinical, biological and radiological differences between TS and BS. These differences permit a presumptive aetiological diagnosis and orient the initial empirical medical treatment while awaiting a final microbiological diagnosis.
Authors:
Ali Kutta Celik; Adalet Aypak; Cenk Aypak
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Tropical doctor     Volume:  41     ISSN:  1758-1133     ISO Abbreviation:  Trop Doct     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1301706     Medline TA:  Trop Doct     Country:  England    
Other Details:
Languages:  eng     Pagination:  172-4     Citation Subset:  IM    
Affiliation:
Van Gevas State Hospital, Department of Family Medicine, 65110 Gevas, Van, Turkey cenkaypak@yahoo.com.
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