medigraphic.com
ISSN 2992-7749 (Electronic)
ISSN 2992-7897 (Print)
Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2025, Number 3

<< Back Next >>

Cir Columna 2025; 3 (3)

Spinal brucellosis: case report and literature review

Rodríguez GRM, Hinojosa MLM, Villalvazo BA

Language: Spanish
References: 15
Page: 205-210
PDF size: 282.82 Kb.


ABSTRACT

Introduction: brucellosis infection is considered a global public health problem, which is estimated in about 58% of the cases demonstrated with osteoarticular involvement. With a special predilection for involvement of the lumbar spine, in patients with carriers mostly with clear identifiable risk factors. Clinical case: we present the case of a 60-year-old female patient, who began suffering consistent with the presence of pain in the thoracolumbar region of long evolution, with poor response to conservative treatment which shows a progressive intensity, until conditioning loss of ambulation and prostration. A study protocol was performed, in which X-ray and computed axial tomography (CAT) were observed lytic lesion in the vertebral body L2, as well as hyperintense lesions with a tendency to invasion of the spinal canal in axial and sagittal T2 section. Conclusion: brucellosis continues to be an important pathology in our country, in our clinical case a surgical resolution similar to that reported in the international literature was performed, with the topic of the different tools available for such resolution.


REFERENCES

  1. Tali ET, Koc AM, Oner AY. Spinal brucellosis. Neuroimaging Clin N Am. 2015; 25: 233-245. doi: 10.1016/j.nic.2015.01.004.

  2. Norma Oficial Mexicana NOM-022-SSA2-2012, Para La Prevención y control de la Brucelosis En El Ser Humano.

  3. Shafizad M, Ehteshami S, Shojaei H, Jalili Khoshnoud R. Cervical spine epidural abscess caused by brucellosis: a case report and literature review. Clin Case Rep. 2022; 10: e05644. Available in: https://doi.org/10.1002/ccr3.5644

  4. Abu Nowar H, Al Dalahmeh A, Alrabadi M, Jabali S, Kakich M, Alqsous N, et al. Exploring the complex landscape of spine brucellosis. Cureus. 2024; 16: e51761. Available in: https://doi.org/10.7759/cureus.51761

  5. Tuon FF, Gondolfo RB, Cerchiari N. Human-to-human transmission of Brucella - a systematic review. Trop Med Int Health. 2017; 22: 539-546.

  6. Chelli Bouaziz M, Ladeb MF, Chakroun M, Chaabane S. Spinal brucellosis: a review. Skeletal Radiol. 2008; 37: 785-790. Avilable in: https://doi.org/10.1007/s00256-007-0371-x

  7. Unuvar GK, Kilic AU, Doganay M. Current therapeutic strategy in osteoarticular brucellosis. North Clin Istanb. 2019; 6: 415-420. doi: 10.14744/nci.2019.05658.

  8. Ozaksoy D, Yücesoy K, Yücesoy M, Kovanlikaya I, Yüce A, Naderi S. Brucellar spondylitis: MRI findings. Eur Spine J. 2001; 10: 529-533. Available in: https://doi.org/10.1007/s005860100285

  9. Yin Z, He E, Ding H, Chen J. Brucella infection of the thoracic vertebral arch presenting with an epidural abscess: a case report. J Med Case Rep. 2015; 9: 237. Available in: https://doi.org/10.1186/s13256-015-0713-6

  10. Yang B, Hu H, Chen J, He X, Li H. The Evaluation of the clinical, laboratory, and radiological findings of 16 cases of brucellar spondylitis. Biomed Res Int. 2016; 2016: 8903635. Available in: https://doi.org/10.1155/2016/8903635

  11. Resorlu H, Sacar S, Inceer BS, Akbal A, Gökmen F, Zateri C, et al. Cervical spondylitis and epidural abscess caused by brucellosis: a case report and literature review. Folia Med (Plovdiv). 2016; 58: 289-292. Available in: https://doi.org/10.1515/folmed-2016-0035

  12. Chen Y, Yang JS, Li T, Liu P, Liu TJ, He LM, et al. One-stage surgical management for lumbar brucella spondylitis by posterior debridement, autogenous bone graft and instrumentation: a case series of 24 patients. Spine (Phila Pa 1976). 2017; 42: E1112-E1118. Available in: https://doi.org/10.1097/BRS.0000000000002093

  13. Katonis P, Tzermiadianos M, Gikas A, Papagelopoulos P, Hadjipavlou A. Surgical treatment of spinal brucellosis. Clin Orthop Relat Res. 2006; 444: 66-72. Available in: https://doi.org/10.1097/01.blo.0000203455.59393.9a

  14. Bolaños TOF, Saldarriaga RLM, Murcia REJ, Hoyos PJA. Sacroiliitis por brucelosis: Un diagnóstico diferencial para tener presente. Revista Colombiana de Reumatología. 2022; 29: 145-150. Disponible en: https://doi.org/10.1016/j.rcreu.2020.06.014

  15. Srinivasan ES, Wang TY, Rapoport A, Erickson MM, Abd-El-Barr MM, Shaffrey CI, et al. Minimally invasive lateral retroperitoneal transpsoas approach for lumbar corpectomy and fusion with posterior instrumentation. Neurosurg Focus Video. 2022; 7: V7.




2020     |     www.medigraphic.com