SavedAdd your journal

Journals / Journal of Turkish Spinal Surgery / 2014 / Cilt: 25 - Sayı: 2

Brucellosis spinal epidural abscess without spondylodiscitis: Case report.

Spondilodiskit olmaksızın brusellar spinal epidural abse: Olgu sunumu

Arif ÖSÜN
Ali SAMANCIOĞLU
MURAT KORKMAZ
Ogün Umut MUTLUCAN
Mehmet KARA
Pages
129–134
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

By report- ing this case report we want to stress out that SEA is not just a complication of Brucellosis spondylodiscitis, it can be seen as a pure spinal epidural abscess formation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Spinal epidural abscess (SEA) was first described in the medical literature in 1761 and represents a severe, generally pyogenic infection of the epidural space requiring emergent neuro- surgical intervention to avoid permanent neurologic deficits.
📊
Key Findings & Data:SEA is primarily a bacterial infection, and the gram-positive Staphylococcus aureus is its most common causative agent.
💡
Conclusion & Impact:By report- ing this case report we want to stress out that SEA is not just a complication of Brucellosis spondylodiscitis, it can be seen as a pure spinal epidural abscess formation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Spinal epidural abscess (SEA) was first described in the medical literature in 1761 and represents a severe, generally pyogenic infection of the epidural space requiring emergent neuro- surgical intervention to avoid permanent neurologic deficits. SEA is primarily a bacterial infection, and the gram-positive Staphylococcus aureus is its most common causative agent. Brucellosis spinal epidural abscess is rare but potentially fatal medical entity and very few cases have been reported so far. All of the reported SEA cases due to Brucellosis species were associated with spondylodiscitis. We present a SEA case due to brucellosis without spondylodiscitis. Magnetic Resonance im- aging clearly showed the lesion, the blood and purulent mate- rial cultures were positive for Brucellosis melitensis. By report- ing this case report we want to stress out that SEA is not just a complication of Brucellosis spondylodiscitis, it can be seen as a pure spinal epidural abscess formation.

Özet

Spinal epidural apse (SEA) tanımı ilk kez 1761 yılında yapılmış ve spinal epidural mesafenin kalıcı nörolojik defisitlere yol aç- madan acil nöroşirurjik girişime gereksinim duyan genellikle piyojenik enfeksiyonu olarak tarif edilmiştir. SEA primer olarak bakteriyel bir enfeksiyon olarak kabul edilir ve gram pozitif Staphylococcus Aereus en sık görülen etken patojendir. Bru- sellar spinal epidural apse nadir görülen, fatal seyirli olabilen klinik bir antitedir. Yayınlanmış tüm brusella SEA olgularında spondilodiskit bulgusu mevcuttur. Bu çalışmada spondilodis- kitis bulgusu olmayan bir brusella SEA olgusu sunulmaktadır. MRG ile lezyon net olarak tespit edilmiş, kan ve pürülan ma- teryalde Brucellosis Melitensis izole edilmiştir. Bu makale ile SEA’nin brusella spondilodiskitinin sadece bir komplikasyonu değil, doğrudan spinal apse formasyonu şeklinde görülebile- ceği vurgulanmak istenmiştir.

🔖

Cite This Article

ÖSÜN, A., SAMANCIOĞLU, A., KORKMAZ, M., MUTLUCAN, O. U., KARA, M. (2014). Brucellosis spinal epidural abscess without spondylodiscitis: Case report.. Journal of Turkish Spinal Surgery, Cilt: 25 - Sayı: 2, 129–134. https://ajindex.com/articles/271388

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Ateş Ö, Çaylı SR, Koçak A, Kutlu R, Onal RE, Tekiner A. Spinal epidural abscess caused by Brucellosis- Two case reports. Neurol Med Chir (Tokyo) 2005; 45: 66-70
  2. Bouaziz MC, Ladeb MF, Chakroun M, Chaabane S. Spinal brucellosis: a review. Skeletal Radiol 2008; 37:785–790
  3. Colmenero JD, Ruiz-Mesa JD, Plata A, Bermúdez P, Martín-Rico P, Queipo-Ortuño MI, Reguera JM. Clinical findings, therapeutic approach, and outcome of Brucellosis vertebral osteomyelitis. Clin Infect Dis 2008; 46: 426–433
  4. Daglioglu E, Bayazit N, Okay O, Dalgic A, Hatipoglu HG, Ergungor F. Lumbar epidural abscess caused by Brucellosis species: report of two cases. Neurocirugia 2009; 20: 159-162
  5. Ekici MA, Özbek Z, Gökoğlu A, Menkü A. Surgical management of cervical spinal epidural abscess by Brucellosis melitensis: report of two cases and review of the literature. J Korean Neurosurg Soc 2012; 51: 383-387
  6. Eren S, Büyükavcı M, Ezırmık N, Ertek M. Spinal Brucellosis with paraspinal abscess formation treated with CT guided percutaneous abscess drainage. Interventional Neuroradiology 2004; 10: 329-334
  7. Eser O, Aslan A, Şahin Ö. Lumbosacral spinal epidural abscess presented with progressive paraparesis: Original image. Turk J Med Sci 2006; 26(4): 471-472
  8. Evirgen Ö, Motor VK, Davran R. Spondylodiscitis associated with epidural abscess due to Brucellosis. Eur J Gen Med 2011; 8(3): 253-256
  9. Girish VV, Mahantesh BN, Chidanand SP. Neurobrucellosis presenting as an intra-medullary spinal cord abscess. Ann Clin Microb Antimicrobials 2005; 4: 14
  10. Heusner AP. Nontuberculous spinal epidural infections. New EngI J Med 1948; 239: 845–854
  11. Izci Y. Lumbosacral spinal epidural abscess caused by Brucellosis melitensis. Acta Neurochir (Wien) 2005; 147: 1207–1209
  12. Kim DH, Cho YD. A case of spondylodiscitis with spinal epidural abscess due to Brucellosis. J Korean Neurosurg Soc 2008; 43: 37-40
  13. Köse G, Senger SS, Çavdar G, Yavaş S. Case report on the development of a brucellosis related epidural abscess. J Infect Dev Ctries 2011; 5(5): 403-405
  14. Mostarchid BE, Okacha N, Akhddar A, Gazzaz M, Mohamed B. Spinal cord compression caused by Brucellosis spondylodiscitis. Pan Arab J Neurosurgery 2008; 12 (1): 102-104
  15. Pourbagher A, Pourbagher MA, Savas L, Turunc T, Demiroglu YZ, Erol I, Yalcintas D. Epidemiologic, clinical, and imaging findings in Brucellosis patients with osteo-articular involvement. AJR 2006; 187: 873-880
  16. Reihsaus E, Waldbaur H, Seeling W. Spinal