Case report
Conservative treatment of lumbar brucellar spondylodiscitis with epidural abscess – a case report
Jurica Arapović
; Klinika za infektivne bolesti, Sveučilišna klinička bolnica Mostar, Mostar, BiH
Marko Marinović
; Klinika za infektivne bolesti, Sveučilišna klinička bolnica Mostar, Mostar, BiH
Siniša Skočibušić
; Klinika za infektivne bolesti, Sveučilišna klinička bolnica Mostar, Mostar, BiH
Ivana Soldo
; Klinički zavod za radiologiju, Sveučilišna klinička bolnica Mostar, Mostar, BiH
Maja Arapović
; JU "Veterinarski zavod HNŽ/K", Mostar, BiH
Željko Cvetnić
; Hrvatski veterinarski institut, Zagreb, Hrvatska
Jadranka Nikolić
; Klinika za infektivne bolesti, Sveučilišna klinička bolnica Mostar, Mostar, BiH
Abstract
Brucellosis is a disease which manifests through a wide range of clinical symptoms, possibly affecting any organ. In the last 15 years, brucellosis has been characterized as an endemic disease in Bosnia and Herzegovina. This case report presents a 58-year-old female who was admitted to the Department of Infectious Diseases of the University Hospital Mostar due to back pain spreading down through legs lasting for two months and fever that appeared two days prior to admission. Epidemiological history revealed that the patient had everyday direct contact with sheep. Diagnostic consideration of brucellosis was confirmed by complement fixation test (CFT). Due to verified neurological deficit, magnetic resonance imaging (MRI) and bone scintigraphy were performed, confirming spondylodiscitis with epidural abscess on spinal level L5, therefore conservative treatment was prolonged up to a total of 18 months. In this case report, we emphasized the complexity of diagnostic procedures and treatment of severe bone complications of brucellosis.
Keywords
Brucellosis; spondylodiscitis; epidural abscess; magnetic resonance imaging
Hrčak ID:
182359
URI
Publication date:
31.3.2016.
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