Spinal brucellosis

The findings in 44 patients with back pain and brucellosis are described. Radiological changes tended to occur in older patients with a longer duration of disease. The younger patients more often experienced an acute arthritis with sacroiliitis resembling a reactive disease. Bone scanning was more s...

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Bibliographic Details
Published in:British journal of rheumatology 1987-02, Vol.26 (1), p.28-31
Main Authors: RAJAPAKSE, C. N. A, AL-ASKA, A. K, AL-ORAINEY, I, HALIM, K, ARABI, K
Format: Article
Language:English
Subjects:
Adult
Arthritis, Infectious - diagnosis
Arthritis, Infectious - etiology
Back Pain - etiology
Bacterial arthritis and osteitis
Bacterial diseases
Biological and medical sciences
Brucellosis - diagnosis
Brucellosis - epidemiology
Female
Human bacterial diseases
Humans
Infectious diseases
Male
Medical sciences
Radiography
Sacroiliac Joint - diagnostic imaging
Saudi Arabia
Spinal Diseases - diagnosis
Spinal Diseases - etiology
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Description
Summary:The findings in 44 patients with back pain and brucellosis are described. Radiological changes tended to occur in older patients with a longer duration of disease. The younger patients more often experienced an acute arthritis with sacroiliitis resembling a reactive disease. Bone scanning was more sensitive than radiographs, particularly in detecting acute sacroiliitis and hip involvement. The lumbar spine was the most frequently involved site although no part of the spine was spared. Extensive destruction of a vertebral body with little involvement of the adjacent vertebrae, lower lumbar spondylolysis and spondylolisthesis, and discitis with calcification were striking radiological findings hitherto undescribed in brucellosis. Computerized axial tomography (CAT) scanning revealed vertebral-arch destruction in three cases of spondylolisthesis. Circumferential sclerosis of the vertebral bodies was another CAT-scan finding.
ISSN:0263-7103
1460-2172