Surgical Management of Cervical Spinal Epidural Abscess Caused by Brucella Melitensis : Report of Two Cases and Review of the Literature.
10.3340/jkns.2012.51.6.383
- Author:
Mehmet Ali EKICI
1
;
Zuhtu OZBEK
;
Abdulkerim GOKOGLU
;
Ahmet MENKU
Author Information
1. Department of Neurosurgery, Sevket Yilmaz Training and Research Hospital, Mimar Sinan Ward. Emniyet Avenue, Bursa, Turkey. mehmetali.ekici@gmail.com
- Publication Type:Case Report
- Keywords:
Cervical epidural abscess;
Brucella melitensis;
Spondylodiscitis;
Spinal cord compression;
Surgical treatment
- MeSH:
Animals;
Brucella;
Brucella melitensis;
Brucellosis;
Cheese;
Discitis;
Eating;
Epidural Abscess;
Milk;
Occupational Diseases;
Rare Diseases;
Spinal Cord Compression;
Spine
- From:Journal of Korean Neurosurgical Society
2012;51(6):383-387
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spinal epidural abscess, if especially caused by Brucellosis is a very rare disease which is usually a consequence of spondylodiscitis. The spinal column can be affected at any joint; however, the lumbar spine is the most common region, especially at the level of the L4-5 and L5-S1. The frequency of spinal involvement usually seen at the lumbar, thoracic and cervical spine respectively. As an occupational disease in farmers, veterinaries, butchers, laboratory staff and shepherds, brucellosis can also occur by direct contact to animals and infected materials or ingestion of raw cheese, milk or unpasteurized milk products. In this study, we presented two cases with cervical spinal epidural abscess caused by brucella melitensis, which was successfully treated by surgical approach. Initial treatment was combined with antibiotic therapy after the surgery for 3 months.
