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Management of spinal brucellosis and outcome of rehabilitation
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NAS K; GUR A; KEMALOGLU MS
SPINAL CORD , 2001, vol. 39, n° 4, p. 223-227 Doc n°: 101839 Localisation : Centre de Réadaptation de Lay St Christophe , en ligne Descripteurs : AE22 - ORIGINE MEDICALE Url : http://www.nature.com/sc/archive/index.html OBJECTIVE: To review cases of brucellosis in order to clarify diagnostic guidelines, treatment regimes and prognosis. SETTING: University Hospital, Turkey. METHODS: Study of 11 patients (9 male, 2 female) with either brucellar spondylitis or epidural brucellar abscess. Diagnosis made on clinical presentation, laboratory findings, radiographic evidence and a minimum brucellar anti body of 1 : 160, a positive bacteriological culture and/or histological finding of inflammation of granulomatous tissue. All patients were treated with a combination of oral antibiotics. Surgery was performed in 8 patients. RESULTS: At least 6 months antibiotic therapy using Rifampicin and Doxycycline is recommended. Surgery is indicated in the presence of spinal instability, cord compression or radiculopathy. In our series eight patients required surgery. CONCLUSION: The patients complaining of back pain, particularly in endemic areas should be investigated as possible cases of brucellosis. Langue : ANGLAIS Identifiant basis : 2001217794 |
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