Spondylodiskitis Associated with Epidural Abscess Due to Brucellosis
Ömer Evirgen 1 * , Vicdan Köksaldı Motor 1, Ramazan Davran 1, Murat Altaş 1, Mustafa Aras 1, Yusuf Önlen 1
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1 Mustafa Kemal University, School of Medicine, Hatay, Turkey* Corresponding Author

Abstract

Spondylodiskitis with epidural abscess due to brucellosis is very rare and serious complication, and it may result in neurological deficits. Here, we report a 29 year-old male patient with brucellosis causing spondylodiskitis and spinal epidural abscess resulting in neurological deficits such as paresis. Surgical therapy is the main approach in the treatment of the abscess. However, the patient did not accept the surgery. Therefore, initial drug combination therapy (doxycycline and rifampicin) was changed to another therapeutic protocol (streptomycin and doxycycline and rifampicin), and the treatment period was extended to three months. He was completely cured in aspect of the disorder and complications. In conclusion, brucellar spinal epidural abscesses are a rare complication of brucellosis. In contrast to the high morbidity and mortality rates reported in pyogenic or tuberculosis abscess, brucellosis with epidural abscess has a good prognosis with early diagnosis and appropriate treatment.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

EUR J GEN MED, 2011, Volume 8, Issue 3, 253-256

https://doi.org/10.29333/ejgm/82750

Publication date: 11 Jul 2011

Article Views: 1073

Article Downloads: 736

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