Brucella Sacroiliitis

Brucellosis of the sacro‐iliac joint

“…X‐rays may be helpful if the disease is chronic and bony destruction has occurred, but in an acute infection a technetium bone scan may be helpful. However, interpretation can be difficult as there is an already high uptake in the sacro‐iliac joints 5,6 .…”

“…Biopsy by open operation, or needle, is helpful if the organism is isolated, but often it is unsuccessful because the organism is slow growing 2,5,6 and difficult to culture. The treatment most advocated is a combination of oxytetracycline and streptomycin 2,3,5,7 .…”

“…Clinically, patients with bony infection complain of malaise, sweating and weight loss. There are no specific features of brucellosis but severe pain seems to be a feature of sacro‐iliac infection 3,6 .…”