Soner Sertan KARA, Meltem POLAT, Anıl TAPISIZ, Hasan TEZER, Pınar İlhan DEMİR

Brusellar spondilodiskit: Olgu sunumu

Bruselloz tüm dünyada yaygın olarak görülen, birçok organ ve sistemtutulumu gösteren bir hastalıktır. Klinikte karşımıza çıkan en sıkkomplikasyonu; osteoartiküler tutulumdur. Osteoartiküler tutulumun alttiplerinden biri olan brusellar spondilodiskit, omurgayı tutan herhangi birhastalıkla karışabilir. Brusella aglütinasyon testi negatif sonuçlanan buhastada, sonrasında akla gelen prozon fenomeni ve çekilen manyetikrezonans görüntüleme ile brusellar spondilodiskit tanısı konulmuştur. Tanıdasıklıkla kullanılmakta olan serolojik testlerde negatiflik saptansa bile bruselloz açısından klinik şüphe yüksek olduğunda mutlaka prozon fenomeni aklagelmeli ve tanı için zaman kaybedilmemelidir.

Brucella spondylodiscitis: A case report

Brucellosis is a common, worldwide disease having multiple organ and system involvements. The most frequent complication that we encounter in the clinics is the osteoarticular involvement. Brucellar spondylodiscitis, a type of osteoarticular involvement tends to be confused with any other diseases involving the spine. In this patient with negative results of brucella agglutination test, brucellar spondylodiscitis was diagnosed by the help of magnetic resonance imaging and prozone phenomenon. Despite the negative results of frequently used serologic tests, when a high suspicion for brucellosis is present, the prozone phenomenon must be kept in mind and the diagnosis should not be delayed.

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