Brucella Diskitis Mimicking Herniation without Spondylitis; MRI Findings

Demirci, İrşadi

doi:10.1055/s-2003-44622

Cited by 13 publications

(5 citation statements)

References 17 publications

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“…The intervertebral disc can be infected without spondylitis, which is named discitis. In addition to back pain, disc herniation and sciatica can be described by the patient with discitis[51,52], therefore, this disease should be considered in the differential diagnosis of those symptoms. It was observed that the simultaneous existence of spondylolysis and spondylolisthesis with brucellar discitis caused misdiagnosis[53].…”

Section: Osteoarticular Manifestationsmentioning

confidence: 99%

Osteoarticular manifestations of human brucellosis: A review

Esmaeilnejad-Ganji

2019

WJO

121

109

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Brucellosis is a common global zoonotic disease, which is responsible for a range of clinical manifestations. Fever, sweating and musculoskeletal pains are observed in most patients. The most frequent complication of brucellosis is osteoarticular involvement, with 10% to 85% of patients affected. The sacroiliac (up to 80%) and spinal joints (up to 54%) are the most common affected sites. Spondylitis and spondylodiscitis are the most frequent complications of brucellar spinal involvement. Peripheral arthritis, osteomyelitis, discitis, bursitis and tenosynovitis are other osteoarticular manifestations, but with a lower prevalence. Spinal brucellosis has two forms: focal and diffuse. Epidural abscess is a rare complication of spinal brucellosis but can lead to permanent neurological deficits or even death if not treated promptly. Spondylodiscitis is the most severe form of osteoarticular involvement by brucellosis, and can have single- or multi-focal involvement. Early and appropriate diagnosis and treatment of the disease is important in order to have a successful management of the patients with osteoarticular brucellosis. Brucellosis should be considered as a differential diagnosis for sciatic and back pain, especially in endemic regions. Patients with septic arthritis living in endemic areas also need to be evaluated in terms of brucellosis. Physical examination, laboratory tests and imaging techniques are needed to diagnose the disease. Radiography, computed tomography, magnetic resonance imaging (MRI) and bone scintigraphy are imaging techniques for the diagnosis of osteoarticular brucellosis. MRI is helpful to differentiate between pyogenic spondylitis and brucellar spondylitis. Drug medications (antibiotics) and surgery are the only two options for the treatment and cure of osteoarticular brucellosis.

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Section: Osteoarticular Manifestationsmentioning

confidence: 99%

Osteoarticular manifestations of human brucellosis: A review

Esmaeilnejad-Ganji

2019

WJO

121

109

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“…Diskitis in the absence of spondylitis secondary to brucellosis has been reported but is exceedingly rare. 11 The only clinical manifestation that we can attribute to brucellosis are his lymphadenopathy and splenomegaly. The laboratory abnormalities of anemia and mild CRP and ESR elevations are compatible with brucellosis.…”

Section: Discussionmentioning

confidence: 99%

Adolescent With Lymphadenopathy in the Absence of Systemic Symptoms

Bidadi

Uzodi

Pritt

et al. 2015

Clin Pediatr (Phila)

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“…Thoracolumbar spinal tuberculosis involving the vertebral body and more for osteolytic destruction, destruction of lesion or most often involving a vertebral destruction sequestrum see multiple irregularities in the kitchen, often involving the destruction of the vertebral pedicle rear, adjacent vertebral density generally reduced, local tissue reactions were; intervertebral disc damage, uneven density, there are "stars" like dead bone residue scattered in which the adjacent vertebral endplates irregular bone destruction or disappearance, most accompanied by paraspinal abscess formation, and calcification within the common abscess, abscess often exceed the length of the vertebral lesion formation flow injection abscess, abscess edge signal enhancement [24,25]; tuberculosis of the spine is the most reliable MRI features "jump lesion" and thin and smooth abscess wall and enhanced well-defined paraspinal abnormal signal (Figure 17) [26,27]. The Brucella spondylitis and more involved in the lower lumbar vertebral segments and 1 -2 [2,17], which is characterized by thick, irregular enhanced MRI abscess wall and ill-defined paraspinal abnormal signal, T1WI showed low signal, T2WI high signal to bone destruction evident when, T2WI high signal on fat suppression such as vertebrae, discs, accessories and intraspinal showed heterogeneous high signal (Figure 18) [2,3,[28][29][30][31].…”

Section: Manifestation Of Ct: Destructions Of the Interverbebral DImentioning

confidence: 99%

The Comparison of the Manifestation of the Clinical Imageology and Pathology between the Brucellar Spondylitis and the Spine Turberculosis

Yang¹,

Meng²,

We³

et al. 2014

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Objective: To improve the clinical differential diagnosis level, the clinical manifestation of the brucellar spondylitis and the spine turberculosis were discussed in this paper. Method: The study was completed in the No. by Analyzing the X-ray, CT scanning and MRI of 257 cases of the brucellar spondylitis retrospectively and comparing with the clinical imageology and pathology 332 cases of turberculosis of the spine diagnosed finally. Results: The brucellar spondylitis: The focuses usually locate in the lumbar vertebra and L4, 5 has the highest occurrence rate. The focuses are often small but multiple, and limited to the edge of the vertebra. Hyperostosis and osteoscterosis are usually found in the tissuses around the focuses. There are often new focuses in the newborn bones, and the destruction of intervertebral discs is usually slight. Hyperostosis and osteoscterosis might be found in the surfaces of the joints. The densites of the bones close to the focuses become high. There were less or no paravertebral abscesses but inflammational granuloma can be found frequently. Turberculosis of the spine: The focuses are usually located in the thoracic and lumbar vertebra, and are characterized by the destruction of the vertebra and the intervertebral discs, accompanied by the appearance of dead bones. In most cases, paravertebral abscesses and osteoporosis might be found. Conclusions: The specific manifestation of the clinical imageology can help to differentiate the brucelar spondylitis from the turberculosis of the spine.

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Brucella Diskitis Mimicking Herniation without Spondylitis; MRI Findings

Cited by 13 publications

References 17 publications

Osteoarticular manifestations of human brucellosis: A review

Osteoarticular manifestations of human brucellosis: A review

Adolescent With Lymphadenopathy in the Absence of Systemic Symptoms

The Comparison of the Manifestation of the Clinical Imageology and Pathology between the Brucellar Spondylitis and the Spine Turberculosis

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