Proceedings of 1st International Military Congress of Tropical Medicine and Sub-Saharan Diseases (Gabès, 2017)

Abstract

Brucellar spondylodiscitis: about 15 cases

Cite this: Pan African Medical Journal - Conference Proceedings. Nov 2017; 4(4): 52. doi:10.11604/pamj.cp.2017.4.52.252

Submitted: 13 Oct 17   Accepted: 03 Nov 17   Published: 27 Nov 17

Key words: Brucellosis, spondylodiscitis, epiduritis

© Rym Abid et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2017/4/52/abstract

Corresponding author: Habiba Naija, Department of Medicine, HMPIT, Tunisia (naijahabiba@hotmail.com)

This abstract is published as part of the proceedings of 1st International Military Congress of Tropical Medicine and Sub-Saharan Diseases(TUNISIA, )

Brucellar spondylodiscitis: about 15 cases

Rym Abid1, Sameh Sayhi1, Habiba Naija1,&, Souha Hannachi1, Salim Asli2, Riadh Battikh1, Mohamed Ben Moussa2, Salah Othmani1

 

1Department of Medicine, HMPIT, Tunisia, 2Department of Microbiology, HMPIT, Tunisia

 

 

&Corresponding author
Habiba Naija, Department of Medicine, HMPIT, Tunisia

 

 

Abstract

Introduction: brucellosis is an endemic infection in Tunisia caused by facultative intracellular bacteria of the genus Brucella, it presents with a wide clinical spectrum. Osteoarticular involvement including spondylodiscites represents the most common complication of brucellosis.

 

Methods: retrospective study in the Department of Internal Medecine of the Military Hospital of Tunis, from January 2000 to January 2016 including patients having brucellar spondylidiscitis.

 

Results: we have studied 15 cases of spondylodiscites (9 men and 6 women), they were 61 year-old on average (31-78). They were from country areas and the source if infection was almost attributable to the consumption of contaminated milk or cheese in all cases. The clinical profile was made of prolonged fever and backache (100%), associated to neurological signs (67%). The location of spondylodiscites was lumber (9 cases), dorsal (6 cases) and cervical (2 cases). Spondylodiscites associated with vertebral abscess in 3 cases and epiduritis in 4 cases. Serological investigation showed that Rose Bengala and Wright seroaglutination were positive in all cases. The organism was identified in 6 cases: brucellosis melitensis. All of patients had medical treatment (rifampicin and tetracycline) associated to corticosteroids (4 cases) and orthopedic immobilization (9 cases). A good clinical outcome was notified for all patients.

 

Conclusion: brucellosis represents a major public health problem in the Mediterranean region. Eradication of the disease in humans needs a multidisciplinary approach involving both humans and animals.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st International Military Congress of Tropical Medicine and Sub-Saharan Diseases ()

Country: TUNISIA

Dates: 23 Oct 16 - 25 Oct 16

Venue:

Organizers:

Secretariat: dgsante_cmed@defense.tn

Contact person: Pr Salem Bouomrani (Salembouomrani@yahoo.fr)