Advertisement

Brucellar spondylodiscitis

MRI diagnosis

      Abstract

      Early diagnosis of brucellar spondylodiscitis is often difficult because of the long latent period. Radiographs of the spine, bone scan, and computed tomography (CT) scan provide insufficient data. Among 25 patients with brucellar spondylodiscitis studied by magnetic resonance imaging (MRI), 9 were in the acute stage and 16 were in the chronic stage. MRI is the investigation method of choice in diagnosing brucellar spondylodiscitis.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Young EJ
        An overview of human brucellosis.
        Clin Infect Dis. 1995; 21: 283-289
        • Spink WW
        The nature of brucellosis. University of Minnesota Press, Minneapolis1956
        • Rotes-Querol J
        Osteo-articular sites of brucellosis.
        Ann Rheum Dis. 1957; 16: 63-68
        • Kelly PJ
        • Martin WJ
        • Schirger A
        • West WF
        • Coventry MB
        • Nettles JL
        Brucellosis of the bones and joints—experience with thirty-six patients.
        JAMA, J Am Med Assoc. 1960; 174: 347-353
        • Mause AR
        • Muhtaseb SA
        • Almudallal DS
        • Khodeir SM
        • Marafie AA
        Osteoarticular complications of brucellosis: a study of 169 cases.
        Rev Infect Dis. 1987; 9: 531-543
        • Colmenore JD
        • Reguera JM
        • Martos F
        • Sanchez-De Mora D
        • Delgado M
        • Causse M
        • Martin-Farfan A
        • Juarez C
        Complications associated with Brucella melitensis infection: a study of 530 cases.
        Medicine (Baltimore). 1996; 75: 195-209
        • Gonzales-Gay MA
        • Garcia-Porrua C
        • Ibanez D
        • Garcia-pais MJ
        Osteoarticular complications of brucellosis in an Atlantic area of Spain.
        J Rheumatol. 1999; 26: 141-145
        • Applebaum GD
        • Mathisen G
        Spinal brucellosis in a southern California resident.
        West J Med. 1997; 166: 61-65
      1. Case reports of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 37—1986; a 50-year old woman with back pain, extensive travel, and exposure to farm animals.
        N Engl J Med. 1986; 315: 748-754
        • Mousa AM
        • Bahar RH
        • Araj GF
        • Koshy TS
        • Muhtaseb SA
        • Al-Mudallal DS
        • Marafie AA
        Neurological complications of brucella spondylitis.
        Acta Neurol Scand. 1990; 81: 16-23
        • Lopez-Arlandiz JM
        • Benedito J
        • Barcia Marino C
        • Hernandez M
        Epidural spinal cord compression in brucellar spondylitis.
        Rev Clin Esp. 1989; 185: 165-166
        • Corbel MJ
        Brucellosis: an overview.
        Emerg Infect Dis. 1997; 3: 213-221
        • Ariza J
        • Gudiol F
        • Valverde J
        • Pallares R
        • Fernandez-Viladrich P
        • Rufi G
        • Espadaler L
        • Fernandez-Nogues F
        Brucellar spondylitis. A detailed analysis based on current findings.
        Rev Infect Dis. 1985; 7: 656-664
        • Tekkök IH
        • Berker M
        • Özcan OE
        • Özgen T
        • Akalın E
        Brucellosis of the spine.
        Neurosurgery. 1993; 33: 838-844
        • Goodhart GL
        • Jakem JF
        • Collins WS
        • Meyer JD
        Brucellosis of the spine.
        Spine. 1985; 12: 414-416
        • Price AC
        • Allen JH
        • Eggers FM
        • Shaff MI
        • Everette JA
        Intervertebral disc space infection: CT changes.
        Radiology. 1983; 149: 725-729
        • Sharif HS
        • Osarugue AA
        • Clark DC
        • Madkour MM
        • Aabed MY
        • Mattsson JA
        • al-Deeb SM
        • Mautaery KR
        Brucellar and tuberculous spondylitis: comparative imaging futures.
        Radiology. 1989; 171: 419-425
        • Bruschwein DA
        • Brown ML
        • McLeod RA
        Gallium scintigraphy in the evaluation of disc-space infections: concise communication.
        J Nucl Med. 1980; 21: 925-927
        • Norris S
        • Ehrlich MG
        • Keim DE
        • Guiterman H
        • Mc Kusick KA
        Early diagnosis of disc-space infection using gallium-67.
        J Nucl Med. 1978; 19: 384-386
        • Heithoff KB
        High resolution computed tomography in the differential diagnosis of soft tissue pathology of the lumbar spine.
        in: Genant HK Chafetz N Helms CA Computed tomography of the lumbar spine. University of California Printing Department, San Francisco1982: 180-192
        • Raininko RK
        • Aho AJ
        • Laine MO
        Computed tomography in spondylitis.
        Acta Orthop Scand. 1984; 56: 372-377
        • Weaver P
        • Lifeso RM
        The radiological diagnosis of tuberculosis of the adult spine.
        Skeletal Radiol. 1984; 12: 178-186
        • Smith AS
        • Weinstein MA
        • Mizushima A
        • Coughlin B
        • Hayden SP
        • Lakin MM
        • Lanzieri CF
        MR imaging characteristics tuberculous spondylitis vs. vertebral osteomyelitis.
        Am J Radiol. 1989; 153: 399-405
        • Whelan MA
        • Naidich DP
        • Post JD
        • Chase NE
        Computed tomography of spinal tuberculosis.
        J Comput-Assisted Tomogr. 1983; 7: 25-30
        • Smith AS
        • Blaser SI
        Infectious and inflammatory processes of the spine.
        Radiol Clin North Am. 1991; 29: 4
        • Actuaco EC
        • McConnel JR
        • Chadduck WM
        • Flanigan S
        MR imaging of spinal epidural sepsis.
        Am J Roentgenol. 1987; 8: 879-883
        • Beltran J
        • Noto AM
        • McGhee RB
        • Freddy RM
        • McColla MS
        Infections of musculoskeletal system: high-field-strength MR imaging.
        Radiology. 1987; 164: 449-454
        • Hlavin ML
        • Kaminski HJ
        • Ross JS
        Spinal epidural abscess: a ten year perspective.
        Neurosurgery. 1990; 27: 177-184
        • Dalla Palma L
        • Pozzi-Mucelli R
        • Cova M
        • Iannis MR
        • Pagnan L
        Apporto del gadalinio nella diagnostica con risonance magnetica delle spondilodisciti.
        Radiol Med. 1991; 82: 393-400
        • Post MJD
        • Sze G
        • Quencer RM
        • Eismant FJ
        • Green BA
        • Gahbaver H
        Gadolinium enhanced MR in spinal infections.
        J Comput-Assisted Tomogr. 1990; 14: 721-729
        • Sharif HS
        • Clark DC
        • Aabed MY
        • Haddad MC
        • al Deeb SM
        • Yagub B
        • al Mautaery KR
        Granulomatous spinal infections: MR imaging.
        Radiology. 1990; 177: 101-107