Extensive cranial, spinal and abdominal involvement in brucellosis: a case with review of the literature

Year 2019, Volume: 5 Issue: 1, 217 - 222, 04.01.2019

Ali Murat Koç , Yaprak Ünsal , Hülya Mollamehmetoğlu Özgür Esen , Rıfat Reha Bilgin

https://doi.org/10.18621/eurj.378485

Abstract

Brucellosis is still an endemic disease in certain
parts of world. It’s clinical and radiological 
features are crucial for an accurate diagnosis. Although systemic
disease in brucellosis shows common typical features, it’s also very important
to know the uncommon features of multisystemic involvement. Herein we present a
case of brucellosis with unique imaging features of extensive cranial, spinal,
abdominal involvement in a middle aged woman.

Keywords

Brucella, spine, multisystemic, magnetic resonance imaging

References

• [1] Inan AS, Ceran N, Erdem I, Engin DO, Senbayrak S, Ozyurek SC, et al. Neurobrucellosis with transient ischemic attack, vasculopathic changes, intracerebral granulomas and basal ganglia infarction: a case report. J Med Case Rep 2010;4:340.
• [2] Buzgan T, Karahocagil MK, Irmak H, Baran AI, Karsen H, Evirgen O, et al. Clinical manifestations and complications in 1028 cases of brucellosis: a retrospective evaluation and review of the literature. Int J Infect Dis 2010;14:e469-78.
• [3] Kizilkilic O, Calli C. Neurobrucellosis. Neuroimaging Clin N Am. 2011;21(4):927-37.
• [4] Krishnan C, Kaplin AI, Graber JS, Darman JS, Kerr DA.. Recurrent transverse myelitis following neurobrucellosis: immunologic features and beneficial response to immunosuppression. J Neurovirol 2005;11:225-31.
• [5] Tali ET, Gultekin S. Spinal infections. Eur Radiol 2005;15:599-607.
• [6] Colmenero Jde D, Queipo-Ortuno MI, Maria Reguera J, Angel Suarez-Muñoz M, Martín-Carballino S, Morata P. Chronic hepatosplenic abscesses in Brucellosis. Clinico-therapeutic features and molecular diagnostic approach. Diagn Microbiol Infect Dis 2002;42:159-67.
• [7] Renzulli P, Hostettler A, Schoepfer AM, Gloor B, Candinas D. Systematic review of atraumatic splenic rupture. Br J Surg 2009;96:1114-21.
• [8] Dülger AC, Yılmaz M, Aytemiz E, Bartın K, Bulut MD, Kemik Ö, et al. [Spontaneous splenic rupture and hemoperitoneum due to brucellosis infection: a case report]. Van Tıp Derg 2011;18:41-4. [Article in Turkish]