Sacroiliac brucellosis aggravation mimicking failed back surgery after lumbar discectomy
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Ali Ender Ofluoglu Nesrin Akkoyun Omer Batu Hergunsel Ramazan Atabey Hasan Burak Gu¨ndu¨z Halil Toplamaoglu
- چاپ و سال / کشور: 2011
Description
Objective Brucellosis is a zoonotic disease which has a significant presence in endemic areas. The most important factors on the delay of the diagnosis and treatment are the vagueness of the systemic features and the inadequacy of laboratory and imaging methods to distinguish the disease from other pathological conditions. Summary of background data In this study, the challenges in the diagnosis and treatment are presented in a case of brucella spondylodiscitis, which is caused by a sacroiliac joint involvement following a surgery due to a lumbar disc herniation. Methods Retrospective case analysis. Results After the confirmation of brucellosis the patient was put on antibiotic treatment. She responded well to antibiotic therapy with complete resolution of her symptoms. Conclusions Clinically there is no specific symptom by which brucellosis can be surely recognized. Especially patients living in endemic countries which present with back or lower back pain of unknown origin, should be suspected of brucellosis.
Eur J Orthop Surg Traumatol DOI 10.1007/s00590-011-0776-z Received: 29 December 2010 / Accepted: 21 February 2011
