Cervical brucellar spondylitis presenting with prevertebral mass simulating malignancy

Emir, Suna; Uysal, Gülnar; Livaoğlu, Birgül; Celepoğlu, Nihan

doi:10.1002/pbc.21098

Pediatric Blood & Cancer

2006

DOI: 10.1002/pbc.21098

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Cervical brucellar spondylitis presenting with prevertebral mass simulating malignancy

Suna Emir¹,

Gülnar Uysal²,

Birgül Livaoğlu³

et al.

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2024

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Cervical Brucella Spondylitis: A Case Report on Diagnosis and Surgical Management

Liu,

Zhang,

Yuan

et al. 2024

IDR

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Background Brucellosis is a zoonotic disease that can affect various organs, including the spine. Cervical spondylitis caused by Brucella is rare but can lead to significant morbidity if not diagnosed and treated promptly. Case Presentation We report a case of a 46-year-old female who presented with intermittent high fever and intractable neck, shoulder, and back pain for two months. She was diagnosed with Brucella cervical spondylitis based on clinical manifestations, Rose-Bengal Plate Agglutination Test (RBPT, positive), and cervical MRI findings. She was treated with a combination of antibiotics for at least two weeks, followed by surgical intervention including abscess clearance, partial vertebral resection, and titanium mesh bone fusion. Real-time Polymerase Chain Reaction (RT-PCR) confirmed the presence of sheep Brucella DNA. The patient recovered well postoperatively with significant pain reduction and restoration of full mobility in the right upper limb. Conclusion This case highlights the diagnostic value of RT-PCR and tissue biopsy in cervical brucellosis spondylitis. Our study found that anterior cervical subtotal corpectomy can restore cervical stability, clear abscess, and relieve spinal cord compression on the basis of drug treatment, with good clinical results.

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Cervical Brucella Spondylitis: A Case Report on Diagnosis and Surgical Management

Liu,

Zhang,

Yuan

et al. 2024

IDR

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Cervical brucellar spondylitis presenting with prevertebral mass simulating malignancy

Cited by 1 publication

References 6 publications

Cervical Brucella Spondylitis: A Case Report on Diagnosis and Surgical Management

Cervical Brucella Spondylitis: A Case Report on Diagnosis and Surgical Management

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