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Cases J. 2009 Jul 09;2:6698. doi: 10.4076/1757-1626-2-6698.

Brucella cervical spondylitis complicated by spinal cord compression: a case report.

Cases journal

Paraskevas Hantzidis, Anestis Papadopoulos, Christos Kalabakos, Loukas Boursinos, Christos G Dimitriou

Affiliations

  1. Orthopaedic Department, Hippokratio General Hospital of Thessaloniki Thessaloniki Greece. [email protected]

PMID: 19829845 PMCID: PMC2740195 DOI: 10.4076/1757-1626-2-6698

Abstract

A case of 65-year-old farmer who presented with Brucella-related cervical spondylitis is described. Because of the advanced form of the infection resulted in neurological impairment, cervical vertebra corpectomy and debridement of the paravertebral granulomatous tissue deposits were performed followed by stabilization with anterior plating and bone grafting. In addition, double antimicrobial chemotherapy regimen was administered for 12 weeks. After one year, follow up evaluation demonstrated resolution of the infection. The authors recommend that brucellosis should be included in the differential diagnosis of cervical spondylitis, particularly in patients who reside in countries where the zoonosis is still endemic.

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