Brucellosis with rare complications and review of diagnostic tests: a case report

Yıldırım, Arzu Altunçekiç; Kurt, Celali; Çetinkol, Yeliz

doi:10.1186/s13256-022-03702-2

Cited by 5 publications

(4 citation statements)

References 19 publications

(18 reference statements)

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“…[ 4 , 14 , 15 ] Brucella was the causative agent in 1 patient with concomitant spondylodiscitis and empyema. [ 16 ] Notably, no previous studies documented SA as the culprit. Although a few cases of secondary spondylodiscitis following oropharyngeal surgery and poor oral hygiene have been reported, [ 1 , 17 ] no study has reported the concomitant occurrence of spondylitis and empyema after oral surgery.…”

Section: Discussionmentioning

confidence: 99%

Concomitant pyogenic spondylodiscitis and empyema following tongue cancer resection and wisdom tooth extraction: A case report and literature review

Yoshizawa,

Yagi,

Uchida

et al. 2024

Medicine

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Rationale: Pyogenic spondylodiscitis is an infectious spinal disease that causes significant motor dysfunctions. Its diagnosis can be challenging owing to its rapid onset and nonspecific symptoms. Patient concerns: A 79-year-old Japanese man with a history of type 2 diabetes mellitus and polymyalgia rheumatica presented to our department with tongue pain. Following partial glossectomy and wisdom tooth extraction under general anesthesia, on 10 postoperative day (POD) the patient developed right-sided abdominal pain and difficulty in walking. On 12 POD, the patient was admitted to a municipal hospital due to respiratory distress and paraplegia. Diagnoses: The patient was diagnosed with pyogenic spondylodiscitis and empyema. Blood tests revealed elevated C-reactive protein levels (36.5), white blood cell count (19,570), and neutrophil count (17,867). Interventions: The patient received meropenem hydrate 3 g/2 days as empiric antibiotic treatment for acute infection. Upon admission to the emergency department on 16 POD, the lung abscess was drained, hemilaminectomy was performed. Outcomes: Blood cultures, sputum tests, and cultures from the thoracic and spinal abscesses drained during surgery revealed methicillin-sensitive Staphylococcus aureus. The infection was successfully managed, and the respiratory disturbance and inflammatory response improved. However, the lower half of the patient body remained paralyzed. Subsequently, the patient was transferred to a rehabilitation facility on 45 POD. The patient continued to undergo functional restoration training, gradually regained function, and eventually achieved the ability to walk with grasping gait. Lessons: This is the first case report of S aureus causing pyogenic spondylodiscitis and empyema due to blood stream infection from a post-oral surgical wound. Pyogenic spondylodiscitis arising from a secondary hematogenous infection is difficult to diagnose and can lead to severe functional impairment. Prompt and appropriate diagnosis and treatment based on detailed patient interviews, additional blood tests, and computed tomography are essential.

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Section: Discussionmentioning

confidence: 99%

Concomitant pyogenic spondylodiscitis and empyema following tongue cancer resection and wisdom tooth extraction: A case report and literature review

Yoshizawa,

Yagi,

Uchida

et al. 2024

Medicine

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“…Abdominal pain due to inflammatory peritonitis is another possibility which may occur in patients with liver cirrhosis (spontaneous bacterial peritonitis)or rarely as a direct peritoneal infection without cirrhosis [39]. Pain is not only visceral, but also abdominal wall pain in combination with fever and severe low back pain has been reported [40].…”

Section: X-ray Images Showed Multiple Cystic Low Density Areas (Blue ...mentioning

confidence: 99%

Brucellosis as a Multisystem Disease

Mokhtar,

Albalawi,

M. Fallatah

2024

Current Topics in Zoonoses

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Brucellosis, one of the common zoonotic diseases all over the world, is still underdiagnosed. Under diagnosis is mostly due to certain concepts that should be revised especially in endemic areas. First of all, in endemic areas especially raw milk consuming communities, it is not logic to consider brucellosis only in certain occupations, while the whole community is exposed through utilization of non-pasteurized dairy products. Unawareness about the protean manifestations of brucellosis and its ability to affect almost every system in the body from heal to crown is another problem that needs orientation. Brucellosis now is one of the great imitators like SLE and TB. Chronic brucellosis can present by different manifestations even in the absence of fever and with low serum antibody titers. So, physicians in endemic areas should be aware by the usual and unusual presentations of brucellosis and should consider brucellosis in the differential diagnosis of almost every unexplained medical problem until proved otherwise.

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“…Сокращение объёмов серологических и бактериологических исследований среди животных и людей, ослабление ветеринарно-санитарного контроля и образование новых частных хозяйств являются препятствием к своевременному выявлению вновь заболевших бруцеллёзом [5]. Значительно затрудняют раннюю диагностику бруцеллёза неспецифичность, «расплывчатость» клинических проявлений и «маски» других заболеваний [6][7][8][9]. В настоящей статье описан случай поздней диагностики бруцеллёза у 10-летнего мальчика.…”

Section: аннотацияunclassified

Subacute brucellosis: A case report

Shakhmardanov¹,

Nikiforov

Tereshkin

et al. 2023

Epidemiology and Infectious Diseases

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Brucellosis is one of the most common zoonotic diseases in the world. The epidemiological situation of brucellosis in the Russian Federation is characterized as unfavorable. The problem of brucellosis remains of particular relevance in regions with developed animal husbandry. Many different clinical manifestations and the absence of specific symptoms of brucellosis make it difficult to diagnose this disease. The clinical case presented in this paper illustrates the delayed diagnosis of brucellosis in a 10-year-old patient with fever, enlarged lymph nodes, liver and spleen. The defects in the provision of medical care were based on the lack of alertness of doctors regarding brucellosis, insufficient interpretation of epidemiological history data and incorrect assessment of the totality of clinical syndromes of the disease and laboratory parameters. As a result, brucellosis was diagnosed only six months after the onset of the disease. Subsequent etiotropic therapy led to stabilization of the patient's condition, who was discharged from the hospital with recommendations under the supervision of an infectious disease specialist.

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Brucellosis with rare complications and review of diagnostic tests: a case report

Cited by 5 publications

References 19 publications

Concomitant pyogenic spondylodiscitis and empyema following tongue cancer resection and wisdom tooth extraction: A case report and literature review

Concomitant pyogenic spondylodiscitis and empyema following tongue cancer resection and wisdom tooth extraction: A case report and literature review

Brucellosis as a Multisystem Disease

Subacute brucellosis: A case report

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