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Turkish Journal of Physical Medicine and Rehabilitation 2013 , Vol 59 , Num 3

Isolated Cervical Spondylodiscitis Due to Brucellosis: A Case Report

Onur Ural 1 ,Şua Sümer 1 ,Nazlım Aktuğ Demir 2 ,Nebahat Dikici 1 ,Vildan Fırat 3
1 Selcuk Üniversitesi Tıp Fakültesi, Klinik Mikrobiyoloji ve İnfeksiyon Hastalıkları Anabilim Dalı, Konya, Türkiye
2 Adıyaman State Hospital, Department of Clinical Microbiology and Infectious Diseases, Adıyaman, Turkey
3 Erzincan State Hospital, Department of Clinical Microbiology and Infectious Diseases, Erzincan, Turkey DOI : 10.4274/tftr.04127

Brucellosis is a zoonotic disease, which has the potential to affect all organs and systems. It most commonly involves the musculoskeletal system and may result in sacroiliitis, spondylitis, spondylodiscitis, arthritis, osteomyelitis, tenosynovitis or bursitis. Lumbosacral region is the most commonly affected in cases of spinal complications. Involvement of the cervical region is very rare, however, when it does occur, the prognosis is worse than when it affects the lumbar region and more neurological damage is observed. Brucellosis should always be considered in the differential diagnosis of patients presenting with musculoskeletal complaints in regions where brucellosis is endemic. We report an unusual case of brucellar spondylodiscitis involving the cervical region and discuss this with reference to the recent literature. 

 Keywords : Brucellosis, discitis, drug treatment