Comparison of Clinical, Laboratory and Radiological Features in Patients with Spondylodiscitis Caused by Tuberculosis and Brucellosis

Alian, Shahriar and DavoudiBadabi, Alireza and Alaei, Abdolrasol and Ahangarkani, Fatemeh and JavdaniYekta, Sar (2015) Comparison of Clinical, Laboratory and Radiological Features in Patients with Spondylodiscitis Caused by Tuberculosis and Brucellosis. Journal of Mazandaran University of Medical Sciences, 25 (124). pp. 213-217.

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Official URL: http://jmums.mazums.ac.ir/article-1-5702-en.html

Abstract

Abstract Background and purpose: Spondylodiscitis is the infection of spine and disk caused by mycobacterium and brucella. The purpose of this study was to determine the clinical characteristics of patients with spondylodiscitis and having a correct diagnosis Materials and methods: A ten-year retrospective study of Spondylodiscitis was performed in patients with chronic tuberculosis and brucellosis (2004-2013) at teaching hospitals in Mazandaran province. Data was analyzed using descriptive and analytical tests in SPSS (ver. 16). Results: There were 54 individuals with spondylodiscitis amongst which brucellosis and tuberculosis were diagnosed in 22 and 32, respectively. The mean duration of illness was 2.40±1.48 months in brucellosis patients and 7.72±5.14 months in patients with tuberculosis (P<0.0001). Incidence of chilling and sweating in patients with brucellosis were 86.4 and 81.8, which was significantly different from those of the cases with tuberculosis (P=0.001, P=0.005, respectively). Sclerotic lesions was detected in 54.5 of individuals with brucellosis spondylodiscitis and lytic lesions were seen in 81.3 of patients with tuberculosis spondylodiscitis, indicating a significant difference between the two groups (P=0.006). Conclusion: Some clinical signs (fever and sweating), radiological findings (lytic lesions of tuberculosis versus sclerotic lesions in brucellosis), and spines lesion can be helpful in making an accurate diagnosis.

Item Type: Article
Uncontrolled Keywords: Spondylodiscitis, tuberculosis, brucellosis
Depositing User: Unnamed user with email eprints@mazums.ac.ir
Date Deposited: 04 Jan 2018 14:35
Last Modified: 04 Jan 2018 14:35
URI: http://eprints.mazums.ac.ir/id/eprint/1174

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