Document Detail


A patient with brucellar cervical spondylodiscitis complicated by epidural abscess.
MedLine Citation:
PMID:  21239174     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Brucellar cervical spondylodiscitis and epidural abscess are serious medical conditions that can cause permanent neurological deficits. Fortunately, they are rare. We report a 34-year-old male patient, complaining of fever and neck pain and stiffness, with increased deep tendon reflexes. A lumbar puncture was normal. Brucella species organisms were isolated from blood cultures, and the Rose-Bengal test and the standard tube agglutination (STA) test were positive. The diagnosis was made on MRI. The patient was treated with doxycycline and rifampin daily for 16weeks. On day 51 of treatment, the patient had no symptoms and his physical and neurological examinations were normal. His repeat cervical MRI was almost normal. The STA test was negative at week 20. It is important to consider brucellar cervical spondylodiscitis with epidural abscess in endemic regions.
Authors:
Alper Eker; Ilkay Uzunca; Ozlem Tansel; Murat Birtane
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Publication Detail:
Type:  Journal Article     Date:  2011-01-15
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  18     ISSN:  1532-2653     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-01-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  428-30     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Infectious Diseases and Clinical Microbiology, Edirne State Hospital, 22030 Edirne, Turkey.
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