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Abstract - Brucellosis with cervical vertebrae and pulmonary involvement: A rare case
Gul Karagoz, Ayten Kadanali, Behiye Dede, Senol Comoglu, Nur Betul Unal Ozdemir, Mehmet Resid Onen

Gül Karagöz,

Ümraniye Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları Servisi Ümraniye, İstanbul Turkey

Brucellosis with cervical vertebrae and pulmonary involvement: A rare case

ABSTRACT

The spine is the most common site of musculoskeletal involvement of brucellosis. However, there is no case report pre­sented in the literature of both cervical vertebrae spondylodiscitis and pulmonary involvement of brucella.

We reported a 52-year-old woman complaining for one month of fever with rigors, fatigue, malaise, pain on the neck and arm, and sweating. The Wright agglutination test for brucella was positive at titers of 1/640. MRI of the cervical vertebrae was consistent with spondylodiscitis and paravertebral and epidural abscesses.

Ground glass opacity was seen in the left upper lobe on CT scanning of the chest. Percutaneous image-guided biopsy was performed and Brucella melitensis was isolated. The patient was treated with streptomycin for 3 weeks, plus doxycy­cline and rifampicin for 3 months. We recommend tissue culture for brucella patients with lung lesions. Isolation of the microorganism from a biopsy material provides conclusive evidence. J Microbiol Infect Dis 2015;5(4): 173-175

Gül Karagöz, Ümraniye Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları Servisi Ümraniye, İstanbul Turkey, Brucellosis with cervical vertebrae and pulmonary involvement: A rare case, Gül Karagöz, Ümraniye Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları Servisi Ümraniye, İstanbul Turkey  J Microbiol Infect Dis 2015;5(4): 173-175 doi: 10.5799/ahinjs.02.2015.04.0200

Volume 05, Number 04 (2015)

Volume 05, Number 04 (2015)