BRUCELLAR AND TUBERCULOUS SPONDYLODISCITIS: COMPARISON OF MAGNETIC RESONANCE IMAGING FINDINGS

Amaç: Bu retrospektif çalışmanın amacı bruselloz ve tüberküloz spondilodiskit hastalıklarının Manyetik rezonans Görüntüleme bulgularını karşılaştırmaktır.Materyal ve metod: 13 bruselloz ve 6 tüberküloz spondilodiskitli hasta çalışmaya dahil edildi. Hastalar klinik bulgular, laboratuar testleri ve MRI bulguları ile değerlendirilmiştir. Tüm olgularda vertebra korpus, disk, paravertebral yumuşak dokular ve epidural mesafeler değerlendirildi.Sonuçlar: Brusellozlu olguların tamamında, tüberküloz olgularının büyük çoğunluğunda lomber bölgede tutulum mevcuttu. Multifokal tutulum, paravertebral tutulum ve kemik erozyonu tüberküloz olgularında daha fazlaydı.Çıkarım: MRI, spondilodiskite eşlik eden kas-iskelet tutulum bulguları sayesinde tüberküloz ve brusellozlu olguları birbirinden ayırt etmekte kullanılabilir. Endemik bölgelerde bruselloz ve tüberküloz, kas-iskelet sistem bulguları olan hastalarda ayırıcı tanıya mutlaka eklenmelidir.

BRUSELLÖZ VE TÜBERKÜLOZ SPONDİLODİSKİT: MANYETİK REZONAN BULGULARININ KARŞILAŞTIRILMASI

Objective: The aim of this retrospective study was to determine the magnetic resonance imaging (MRI) findings and differences of patients with brucellar and tuberculous spondylodiscitis.Materials and methods: 13 patients with brucellar and 6 patients with tuberculous spondylodiscitis were included in the study. Patients were diagnosed based on clinical findings, laboratory tests and MRI findings. Vertebral corpus, disc, paravertebral soft tissues and epidural distances were evaluated in cases. Results: Lumbar involvement was present in all of the brucellar, and majority of the tuberculous cases. Multifocal involvement, paravertebral involvement and bone erosion was higher in tuberculous cases.Conclusions: MRI can be used in differentiating the cases with tuberculous and brucellar cases by using musculoskeletal findings which are seen together with spondylodiscitis. Brucellosis and tuberculosis must be placed in differential diagnosis of patients with musculoskeletal findings in endemic regions.

Kaynakça

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