Comparison of Clinical Laboratory and Radiological Features in Patients with Spondylodiscitis Caused by Tuberculosis and Brucellosis - Journal of Mazandaran University of Medical Sciences
Volume 25, Number 124 (5-2015)                   J Mazandaran Univ Med Sci 2015, 25(124): 213-217 | Back to browse issues page


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Alian S, Davoudi Badabi A, Alaei A, Ahangarkani F, Javdani Yekta S. Comparison of Clinical, Laboratory and Radiological Features in Patients with Spondylodiscitis Caused by Tuberculosis and Brucellosis . J Mazandaran Univ Med Sci. 2015; 25 (124) :213-217
URL: http://jmums.mazums.ac.ir/article-1-5702-en.html

Abstract:   (2618 Views)
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.
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Type of Study: Brief Report | Subject: infection

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