Yuepeng Wang1, Su Yang1, Pengfei Han2, Yunpeng Zhang2, Shilei Qin3, Yunfeng Xu3
1Department of Graduate School, Graduate Student Department of Changzhi Medical College, Changzhi, China
2Department of Orthopaedics, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, China
3Department of Orthopaedics, Changzhi Yunfeng Hospital, Changzhi, China
Introduction:China is the largest developing country in the world, and the probability of Brucellosis is high in some areas. The incidence of spondylitis in brucellosis is 2% Mel 53%, and the most common site is the lumbar vertebrae. However, spinal cord compression caused by thoracic vertebrae brucellosis accompanied by epidural abscess is very rare. Methodology: We report a case a 59-year-old female with Brucella antibody test and serum agglutination test (SAT) for Brucella revealed brucella infection. Thoracic vertebrae magnetic resonance imaging (MRI) and computed tomography (CT) scan suggested T6, T7 vertebral destruction and at the same time, it is accompanied by spinal cord compression caused by epidural abscess. Based on preoperative clinical symptoms and auxiliary examination, Thoracic vertebrae spinal brucellosis with formation of epidural abscess suspected. Results: The preoperative symptoms of the patient decreased significantly after surgery. The patient Follow-up for 6 months showed that the pain was relieved, the nerve function recovered obviously, and the patients could walk independently. Conclusion: The formation of epidural abscess is a serious complication of spinal brucellosis, which can lead to permanent nerve damage. We have to make an early diagnosis, and when infection cannot be relieved by conservative treatment, or when neurological dysfunction continues to progress, priority should be given to surgical treatment.
Brucella; Spondylitis; Spinal cord compression; Epidural abscess
Yuepeng Wang, Su Yang, Pengfei Han, Yunpeng Zhang, Shilei Qin, Yunfeng Xu. Thoracic vertebrae spinal brucellosis with formation of epidural abscess. Academic Journal of Medicine & Health Sciences (2021) Vol. 2, Issue 1: 94-98. https://doi.org/10.25236/AJMHS.2021.020116.
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