Brucellar spondylodiscitis mimicking tuberculosis

Dewan, Eshani; Oberoi, Aroma; John, Bobby; Mathias, Anuniti; Abraham, Dilip

doi:10.4103/2348-3334.158721

Cited by 2 publications

(1 citation statement)

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“…A literature review identified only one case of culture confirmed coinfection 23. As the clinical signs and symptoms of brucellosis do not differ significantly from those of tuberculosis, misdiagnosis can easily occur 24. Therefore, in order to establish a correct diagnosis, the clinical findings should be correlated with laboratory results, as well as radiological and pathological characteristics 25.…”

Section: Discussionmentioning

confidence: 99%

Granulomatous infective spondylitis in a patient presenting with progressive difficulty in walking: the differential between tuberculosis and brucellosis

et al. 2019

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We report a case of infectious spondylitis in a 52-year-old woman who presented with progressive difficulty in walking. The patient had a 2-month long history of neurological symptoms, which progressed rapidly to paraplegia, following her admission. Imaging studies demonstrated the presence of vertebral lesions as well as additional tissue with inflammatory elements in the spinal canal, which caused a mass effect. In combination with the presence of increased cells and protein in the cerebrospinal fluid (CSF), the differential was steered towards causes of infectious spondylitis, primarily tuberculosis. However, brucellosis was also considered, as it is endemic in our area. Prompt surgical decompression produced biopsy samples, which confirmed the presence of granulomatous inflammation. The patient was started on an empiric regimen covering both for tuberculosis and brucellosis, and gradually regained full mobility in her lower limbs. The differential of infectious spondylitis is discussed, with an emphasis on the differentiation between tuberculosis and brucellosis.

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Section: Discussionmentioning

confidence: 99%

Granulomatous infective spondylitis in a patient presenting with progressive difficulty in walking: the differential between tuberculosis and brucellosis

et al. 2019

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Brucellar Spondylodiscitis - A Silent Cause of Concern

Singh,

Goldar,

Neog

2024

Indian Journal of Medical Specialities

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A 68-year-old male with a history of persistent lower back discomfort visited our orthopedic department. Based on magnetic resonance imaging that was compatible with infective spondylodiscitis at a medical facility close to his home, spinal tuberculosis (TB) was suspected, and the patient was transferred to our hospital for further therapy. The patient was treated appropriately after investigations revealed that he had an unusual diagnosis of Brucellar spondylodiscitis. Therefore, it must be taken into consideration as a differential diagnosis when a patient presents with lower back discomfort (especially in the elderly) and symptoms of a persistent infection. Brucellar spondylodiscitis may clinically mimic spinal TB. Serological screening is essential for the early diagnosis and treatment of spinal brucellosis.

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Brucellar spondylodiscitis mimicking tuberculosis

Cited by 2 publications

References 4 publications

Granulomatous infective spondylitis in a patient presenting with progressive difficulty in walking: the differential between tuberculosis and brucellosis

Granulomatous infective spondylitis in a patient presenting with progressive difficulty in walking: the differential between tuberculosis and brucellosis

Brucellar Spondylodiscitis - A Silent Cause of Concern

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