J Korean Rheum Assoc.  2010 Jun;17(2):216-220. 10.4078/jkra.2010.17.2.216.

A Case of Brucellar Spondylitis Complicated by Acupuncture

• Park SC
• Park SH
• Lee HJ
• Lee KE
• Park DJ
• Cho YN
• Lee SJ
• Seo SR
• Kim TJ
• Lee SS
• Park YW

• KMID: 2201978
• DOI: http://doi.org/10.4078/jkra.2010.17.2.216

Abstract

Brucellosis is an endemic zoonotic disease, particularly in the Middle East and Mediterranean regions, and can involve many organs and tissues. Recently, the incidence of human brucellosis has increased rapidly in Korea. Brucellosis may often appear as other infections and asymptomatic conditions because of its range of clinical manifestations. Therefore, its diagnosis is frequently missed or delayed. Early diagnosis of brucellar spondylitis is important for reducing the number and intensity of complications. Therefore, it should be included in a differential diagnosis of back pain with an unknown origin. Brucellosis is normally transmitted to humans by direct contact with infected animals or by the ingestion of unpasteurized dairy products. We report an unusual case of brucellar spondylitis complicated by acupuncture.

Keyword

Brucellosis; Spondylitis; Acupuncture

MeSH Terms

Acupuncture
Animals
Asymptomatic Diseases
Back Pain
Brucellosis
Dairy Products
Diagnosis, Differential
Early Diagnosis
Eating
Humans
Incidence
Korea
Mediterranean Region
Middle East
Spondylitis

Reference

1). Yilmaz E., Patlak M., Akalin H., Heper Y., Ozakin C., Mistik R, et al. Brucellar spondylitis: review of 25 cases. J Clin Rheumatol. 2004. 10:300–7.

2). Bodur H., Erbay A., Colpan A., Akinci E. Brucellar spondylitis. Rheumatol Int. 2004. 24:221–6.

3). Lee HJ., Hur JW., Lee JW., Lee SR. Brucellar spondylitis. J Korean Neurosurg Soc. 2008. 44:277–9.

4). Park MS., Woo YS., Lee MJ., Shim SK. The first case of human Brucellosis in Korea. Infect Chemother. 2003. 35:461–6.

5). Young EJ. An overview of human brucellosis. Clin Infect Dis. 1995. 21:283–9.

6). Pappas G., Akritidis N., Bosilkovski M., Tsianos E. Brucellosis. N Engl J Med. 2005. 352:2325–36.

7). Kim YS., Sill CY., Oh WS., Kwon KT. Clinical characteristics of human Brucellosis in South Korea. Infect Chemother. 2006. 38:334–43.

8). Navarro-Martinez A., Navarro E., Castano MJ., Solera J. Rapid diagnosis of human brucellosis by quantitative real-time PCR: a case report of brucellar spondylitis. J Clin Microbiol. 2008. 46:385–7.

9). Turunc T., Demiroglu YZ., Uncu H., Colakoglu S., Arslan H. A comparative analysis of tuberculous, brucellar and pyogenic spontaneous spondylodiscitis patients. J Infect. 2007. 55:158–63.

10). Aydin G., Tosun A., Keles I., Ayaslioglu E., Tosun O., Orkun S. Brucellar spondylodiscitis: a case report. Int J Clin Pract. 2006. 60:1502–5.

11). Ozaksoy D., Yucesoy K., Yucesoy M., Kovanlikaya I., Yuce A., Naderi S. Brucellar spondylitis: MRI findings. Eur Spine J. 2001. 10:529–33.

12). Solera J., Lozano E., Martinez-Alfaro E., Espinosa A., Castillejos ML., Abad L. Brucellar spondylitis: review of 35 cases and literature survey. Clin Infect Dis. 1999. 29:1440–9.

13). Tur BS., Suldur N., Ataman S., Ozturk EA., Bingol A., Atay MB. Brucellar spondylitis: a rare cause of spinal cord compression. Spinal Cord. 2004. 42:321–4.

14). Daglioglu E., Bayazit N., Okay O., Dalgic A., Hatipoglu HG., Ergungor F. Lumbar epidural abscess caused by brucella species: report of two cases. Neurocirugia (Astur). 2009. 20:159–62.

15). Korea Center for Disease Control and Prevention. Current situation of human brucellosis in Korea. CDMR. 2006. 17:1–7.