Abstract - Brucellosis with cervical vertebrae and pulmonary involvement: A rare case

摘要

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 Eeitim ve Arattyrma Hastanesi, Ynfeksiyon Hastalyklary Servisi Ümraniye, Ystanbul Turkey, Brucellosis with cervical vertebrae and pulmonary involvement A rare case, Gül Karagöz, Ümraniye Eeitim ve Arattyrma Hastanesi, Ynfeksiyon Hastalyklary Servisi Ümraniye, Ystanbul Turkey  J Microbiol Infect Dis 2015;5(4) 173-175 doi 10.5799/ahinjs.02.2015.04.0200 Volume 05, Number 04 (2015)