1. Spinal Brucellosis
- Author
-
C W C William Watters rd. and Charles A. Reitman
- Subjects
Pediatrics ,medicine.medical_specialty ,medicine.medical_treatment ,MEDLINE ,Disease ,Brucellosis ,Protracted course ,Anti-Infective Agents ,Cheese ,Ciprofloxacin ,Antibiotic therapy ,Brucella melitensis ,Back pain ,Humans ,Surgical Wound Infection ,Medicine ,Orthopedics and Sports Medicine ,Radiculopathy ,business.industry ,Laminectomy ,Lumbosacral Region ,Middle Aged ,medicine.disease ,Spinal Fusion ,Treatment Outcome ,Spinal fusion ,Female ,Spinal Diseases ,Neurology (clinical) ,Differential diagnosis ,medicine.symptom ,business ,Low Back Pain ,Diskectomy - Abstract
Study design Case report. Objective To increase awareness of spinal brucellosis and discuss demographics, diagnosis, and treatment. Summary of background data Brucellosis is a rare cause of spinal infections in the United States, although there have been regional increases in its prevalence. Methods Retrospective review of a patient with spinal brucellosis. She underwent a protracted course of treatment, with a long delay in diagnosis. History ultimately revealed regular consumption of unpasteurized goat cheese. Appropriate testing subsequently led to the diagnosis. Results After multiple surgeries and medications, the condition responded well to definitive antibiotic therapy. Conclusion Brucellosis is rare in the United States and thus often overlooked in the differential diagnosis of back pain. The changing risk pattern for this disease requires a high index of suspicion, which can result in early diagnosis and predictably favorable results to treatment.
- Published
- 2002
- Full Text
- View/download PDF