Cervical spinal tuberculosis combined with brucellosis

  • Guanghai Zhao The Second Clinical Medical College of Lanzhou University, Lanzhou, China
  • Jing Wang The Second Clinical Medical College of Lanzhou University, Lanzhou, China
  • Gao Xiang The Second Clinical Medical College of Lanzhou University, Lanzhou, China
  • Kaisheng Zhou The Second Clinical Medical College of Lanzhou University, Lanzhou, China
  • Wei Nan The Second Clinical Medical College of Lanzhou University, Lanzhou, China
  • Haihong Zhang The Second Clinical Medical College of Lanzhou University, Lanzhou, China
Keywords: Cervical tuberculosis, brucellosis, spine

Abstract

Introduction: In some developing countries, tuberculosis and brucellosis, which are commom causes of spinal infections, are still common infectious diseases. However, co-occurrence of spinal tuberculosis and brucellosis is rare.

Methodology: We report a case a 47-year-old male engaged in aquaculture with a medical history of numbness, weakness, fever, and night sweats in both upper limbs for about 10 days. Serum agglutination test (SAT) for Brucella revealed brucella infection. Cervical computed tomography (CT) scan and magnetic resonance imaging (MRI) suggested C6, C7 vertebral destruction and corresponding segmental nerve compression. Based on preoperative clinical symptoms and auxiliary examination, brucellar spondylitis was first suspected. According to the postoperative pathological examination, the patient was finally diagnosed as cervical spinal tuberculosis combined with brucellosis.

Results: The preoperative symptoms of the patient decreased significantly after surgery, and the patient recovered and leaved hospital within two weeks of starting treatment. At the 6-month follow-up, the patient's clinical symptoms completely disappeared, and all laboratory tests returned to normal.

Conclusion: Cervical spinal tuberculosis combined with brucellosis is a relatively rare condition. In areas with high rates of tuberculosis and brucellosis, we should conduct comprehensive examinations to avoid misdiagnosis and missed diagnosis.

Published
2020-10-31
How to Cite
1.
Zhao G, Wang J, Xiang G, Zhou K, Nan W, Zhang H (2020) Cervical spinal tuberculosis combined with brucellosis. J Infect Dev Ctries 14:1217-1220. doi: 10.3855/jidc.12647
Section
Case Reports