spondylodiscitis due to Brucella is a possible com- .. mos dos casos de espondilodiscitis por Brucella que consultaron por lumbalgia al servicio de urgencias. tests for Brucella species in patients with subacute NVO re- siding in . gest the initiation of empiric antimicrobial therapy in con- junction with. Osteoarticular involvement is the most common complication of brucellosis. Spondylodiscitis is a serious complication as it is often associated with abscess.
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Lumbar epidural abscess caused by brucella species: Continuing navigation will be considered as acceptance of this use.
Immediate surgical intervention can decrease or eliminate morbidity in cases with spinal epidural abscess. Case 2 A year-old woman was admitted with complaints of lumbalgia, pain opr numbness in left leg. Se continuar a navegar, consideramos que aceita o seu uso.
In conclusion, although rare, epidural abscess due to brucellosis should be remembered in the differential diagnosis of the spinal cord lesions particularly in the endemic areas.
Spinal epidural abscess due to Brucella species is usually associated with spondylodiscitis. Acta Neurochir Wien ; Brucella infections can also mimic findings of lumbar disc herniation or sciatic pain 7, You can change the settings or obtain more information by clicking here.
Previous article Next article. Neurological examination showed motor weakness on distal parts of both lower extremities. She was presumed to have lumbar disc herniation and lumbar MRI revealed a spinal epidural mass anterior to dural sac at L5 and S1 levels Figure 2A and 2B.
This case is interesting because never before had been described the simultaneous presence of these three manifestations of brucellosis in an immunocompetent patient. Iatrogenic dural tear at the operation should be repaired immediately with fine sutures and fibrin tissue glue to prevent further innoculation into the cerebrospinal axis.
Clin Infect Dis ; SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Acta Med Colomb [online].
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Ankara Numune Education and Research Hospital. Lumbar vertebrae are the most common region for epidural abscesses whereas involvement of the cervical spinal brkcella is uncommon.
At the operation, epidural mass was removed via L1 and L2 laminectomies. Doxycycline-rifampin versus doxycycline-streptomycin in treatment of human brucellosis due to Brucella melitensis.
To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. We report clinical features of two cases operated for lumbar epidural abscess caused by Brucella species.
Brucella spondylodiscitis | Medicina Clínica (English Edition)
Long-term medical treatment is necessary as brucellosis pof rise to low grade infections. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
At the operation, L4 inferior and L5 total laminectomies were performed via posterior approach. Los abscesos epidurales espinales debidos a Brucella se asocian habitualmente a espondilodiscitis. There is a significant risk of sudden neurological deterioration in cases managed conservatively.
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However immediate repair of dural tear with fine sutures and use of fibrin glue together with fascia grafts could prevent this unpredicted complication as reported in Case 2. Services on Demand Article. Lumbosacral spinal epidural abscess caused by Brucella melitensis.
Initial diagnosis could be malignancy, degenerative conditions or other infectious agents.
The journal adheres to the standards of academic research publications in all aspects including peer-review and ethical principles. Neurol Med Chir Tokyo ; Subscriber If you already have your login data, please click here. Spondylodiscitis is a serious complication as it is often associated with abscess formation.