Periacetabular Brucella Osteomyelitis
髋臼周围布鲁氏菌骨髓炎作者机构:Orthopaedics and Traumatology Department Medipol University Istanbul Turkey Orthopaedics and Traumatology Department Royal Orthopaedic Hospital Birmingham United Kingdom Orthopaedics and Traumatology Department Medeniyet University Goztepe Research and Training Hospital Istanbul Turkey Department of Pathology Medeniyet University Goztepe Research and Training Hospital Istanbul Turkey Orthopaedics and Traumatology Department University Hospital Agostino Gemelli Catholic University of the Sacred Heart School of Medicine Rome Italy Orthopaedics and Traumatology Department Florence Nightingale Hospital Istanbul Turkey.
出 版 物:《Open Journal of Orthopedics》 (矫形学期刊(英文))
年 卷 期:2013年第3卷第1期
页 面:20-22页
学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题:Brucella Acetabulum Osteomyelitis
摘 要:Introduction: Although Brucellosis has a limited geographic distribution;it remains a challenge in certain parts of the world such as in Mediterranean, western Asian, Latin American and African regions. We present a unique case of periacetabular Brucella osteomyelitis and increase awareness of possible widespread distrubition of Brucella osteomyelitis and its ability to affect any region of the musculoskeletal system. Case Presentation: A 44-year-old male farmer presented with symptoms of pain radiating from his left hip to his thigh of five years duration. There was a history of night sweats and fever for the past two months. A lytic area with smooth borders in left periacetabular region was detected on pelvic roentgenography of the patient. Magnetic resonance imaging revealed a cavitatory lesion in relation to hip joint. Open biopsy was undertaken with the differential diagnosis of an infectious (Brucella or Tuberculous) or tumoral lesion. Intraoperative frozen sections showed granulomatous inflammatory tissue. Post debridement, the cavity was filled with autograft taken from the patient’s right iliac wing. Postoperative immunohistochemistry confirmed diagnosis of Brucella osteomyelitis. Oral Doxycyline, Rifampicine and Ciprofloxacin were administered for 3 months. At one-year postoperatively, the patient had a painless, unrestricted range of motion and function in relation to the affected hip. Conclusion: In endemic regions, Brucella osteomyelitis should be considered in differential diagnosis in patients with arthralgia and/or spondylodiscitis in the presence of radiologically suspected osseous lesions.