Abstract:

Objective To investigate the clinical characteristics of brucellosis spondylitis. Methods The clinical data, treatment and prognosis of 13 brucellosis spondylitis patients admitted to Gansu Provincial Hospital from 2015 to 2022 were analyzed retrospectively. Results All 13 cases had lumbar and back discomfort, including 8 cases with intermittent fever. All cases had increased erythrocyte sedimentation and interleukin-6, and positive the results of tiger red plate agglutination test and tube agglutination test, among which 2 cases were positive in blood culture, and their magnetic resonance imaging was involved to varying degrees. Conclusion Brucellosis spondylitis is similar to spinal tuberculosis, suppurative spondylitis, spinal tumor and other diseases in clinical manifestations, so it is easy to misdiagnosis. For patients with fever, low back and leg pain, and limb numbness, the detailed history of epidemiology should be inquired, serologic examination and spinal magnetic resonance imaging should be performed, furthermore early detection/diagnosis for the patients.

Key words: brucellosis, spondylitis, treatment