Surgical Treatment of Brucellar Spondylodiscitis with Epidural Abscess - A Case Report -

Kook Jin Chung; Ki Hoon Park; Sung Hye Koh; Ji Hyo Hwang; Hong Kyun Kim; Kyu Cheol Noh; Jung Han Yoo; Kyung Won Song

doi:10.7469/JKSS.2009.16.1.59

Journal List > J Korean Soc Spine Surg > v.16(1) > 1035877

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Chung, Park, Koh, Hwang, Kim, Noh, Yoo, and Song: Surgical Treatment of Brucellar Spondylodiscitis with Epidural Abscess - A Case Report -

Case Report

Journal of Korean Spine Surg 2009;16(1):59-63.

Published online: 18 January 2009

DOI: https://doi.org/10.7469/JKSS.2009.16.1.59

Surgical Treatment of Brucellar Spondylodiscitis with Epidural Abscess - A Case Report -

Kook Jin Chung, M.D., Ki Hoon Park, M.D., Sung Hye Koh, M.D.^∗, Ji Hyo Hwang, M.D., Hong Kyun Kim, M.D., Kyu Cheol Noh, M.D., Jung Han Yoo, M.D., Kyung Won Song, M.D.^#

Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University

^{^∗}Department of Radiology, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University

^{^#}Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University

Address reprint requests to Kook Jin Chung, M.D. Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospita College of Medicine, Hallym University 948-1, Daerim 1-dong, Yeongdeungpo-gu, Seoul, 150-950, Korea Tel: 82-2-829-5165, Fax: 82-2-834-1728, E-mail: chungkjmd@dreamwiz.com

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Brucellosis is a well known systemic, zoonotic disease that can affect many organs. We report a rare case of spondylodiscitis with an epidural abscess caused by brucellosis. The patient was treated surgically for severe pain and concomitant devastating neurological deficit. A diagnosis of spondylodiscitis or an epidural abscess due to brucellosis must be considered when acute back pain, radiating pain and febrile episodes occur, particularly in people in a high risk group.

Keywords: Brucellosis, Spondylodiscitis, Epidural abscess, Surgical treatment

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Fig. 1.

Lateral view of lumbar spi ne showed localized bony erosion was found at anterosuperior corner of L3.

Fig. 2.

Sagittal MRI showed low signal intensity on T1-weighted image and hyperintensity on T2-weighted image and homogeneous contrast enhancement of L3 verterba body and multiseptated epidural abscess.

Fig. 3.

Axial MR image showed epidral abscess and paravertebral abscess with peripheral enhancement. Cauda equina was compressed within canal and foramen by inflammatory granulation tissue.

Fig. 4.

Posteior instrumentation and anterior lumbar interbody fusion with autogenous iliac bone graft was performed and 1 year after operation solid union was found.

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