TY - JOUR
TI - Brucella spondylitis complicated by an infected abdominal aortic
aneurysm and deep venous thrombosis: case report and review of the
literature
AU - Kokkinis, K.
AU - Stathopoulou, S.
AU - Petrocheilou, G.
AU - Makris, N.
AU - and Vlychou, M.
AU - Evangelopoulos, D.
AU - Benetos, I.
AU - Papadaki, P.
AU - and Korres, D. S.
JO - EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
PY - 2008
VL - 18
TODO - 1
SP - 23-27
PB - Springer-Verlag
SN - null
TODO - 10.1007/s00590-007-0256-7
TODO - brucellosis; spondylodiscitis; abdominal aortic aneurysm; venous
thrombosis; CT
TODO - Brucellosis is a common zoonosis, which still remains as a major health
problem in certain parts of the world. Spondylodiscitis is the most
frequent osteoarticular complication of brucellosis. Herein is reported
an uncommon case of a middle-aged male treated for brucellosis who
developed 2 years after the treatment brucellar spondylo-discitis
complicated by a psoas muscle abscess, an infected abdominal aorta
aneurysm and deep venous thrombosis of IVC, common iliac, external iliac
and common femoral veins. CT and CT angiography were the imaging
modalities depicting the findings. After an endovascular stent graft
placement in abdominal aorta aneurysm, a CT guided drainage of
retroperitoneal abscess revealed Brucella melitensis as the pathogen
microorganism. Diagnosis of spondylodiscitis and contiguous psoas
abscess is usually simple but aortic involvement is difficult to
identify and can be easily overlooked. A high degree of suspicion is
essential to reduce the delay for the treatment.
ER -