Seronegative brucellosis of the spine: A case of psoas abscess secondary to brucellar spondylitis

Bozbaş, Gülnur Taşçı; Ünübol, Ayşe Iyiyapici; Gürer, Gülcan

doi:10.5152/eurjrheum.2015.15082

Cited by 6 publications

(2 citation statements)

References 9 publications

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“…In one report, rapidly progressive spinal epidural abscess was observed following brucellar spondylitis, which was primarily misdiagnosed as a lumbar disc herniation[32]; delay in diagnosis and treatment were responsible for rapid progression of the disease. Another study reported a seronegative patient who developed a psoas abscess following brucellar spondylitis[33]. The basis of spondylitis diagnosis is microbiological or histopathological assessment of the tissue obtained by biopsy using a needle with computed tomography guidance.…”

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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“…Spine MRI images are based on the magnetic resonance phenomenon of hydrogen in the human body, which is important to the diagnosis of common spinal diseases such as scoliosis, disc herniation, scoliosis, and disc degeneration [ 11 ]. The research of Bozbaş et al showed that MRI at this stage often showed blur and low contrast due to multiple factors [ 12 ]. Alyousef and Aldoghaither mentioned in the study of the current spine image segmentation algorithm that the watershed algorithm had inherent advantages due to its morphological characteristics.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Curative Effect of Posterior Approach on Lumbar Brucellar Spondylitis with Abscess through Magnetic Resonance Imaging under Improved Watershed Algorithm

Feng

Wang

Yin

et al. 2021

Contrast Media & Molecular Imaging

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To explore the performance of improved watershed algorithm in processing magnetic resonance imaging (MRI) images and the effect of the processed images on the treatment of lumbar brucellar spondylitis (BS) with abscess by the posterior approach, the watershed algorithm was improved by adding constraints such as noise reduction and regional area attribute. 50 patients with abscessed lumbar disc herniation admitted to the hospital from January 2018 to January 2019 were selected, and all of them were examined by MRI. They were rolled into two groups in random. The treatment group (n = 25) accepted surgery with the aid of MRI images processed by the improved watershed algorithm, and the control group (Ctrl group) (n = 25) accepted surgery with the aid of unprocessed MRI images. The improved watershed algorithm can accurately segment the spine, and the segmentation results were relatively excellent. In contrast with the unprocessed MRI image, that processed by the improved watershed algorithm had a positive effect on the operation. In contrast with the Ctrl group, the visual analogue scale pain score (VAS), oxygen desaturation index (ODI), erythrocyte sedimentation rate (ESR), and high sensitivity C-reactive protein (CRP) were obviously lower ( p < 0.05 ). The improved watershed algorithm proposed performs better in MRI image processing and can effectively enhance the resolution of MRI images. At the same time, the posterior approach has a good effect in the treatment of lumbar BS with abscess and is worthy of clinical promotion.

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