Brucellial Spondylodiscitis Cervical: A Case Report and Literature Review
SELLAMI A. , BOUALLAGUE M., HABCHI N.,BOUGUERRA I., BENHAFRI A.,
and DJAAFER M.
Neurosurgery Department Mustapha Pacha University Hospital – Algiers-Algeria
*Corresponding Author: : SELLAMI A.,Neurosurgery Department , Mustapha Pacha University Hospital, Algiers, Algeria
Abstract:
Cervical Spondylodiscitis is a rare infectious disease. It is associated with a high risk of neurological complications. In our study, brucella was the main germ of cervical spondylodiscitis. The diagnosis of certainty is based primarily on Wright's serodiagnosis.
A 36-year-old man of rural origin was referred to the neurosurgery emergency for the management of a 04-limb deficit , Cervical MRI revealed an anterior epidural collection from C2 to C5 compressing the spinal cord, C3-C4 spondylodiscitis with vertebral compression and a left perivertebral abscess.
Urgent neurological decompression will be indicated for severe or rapidly progressive neurological disorders, with spinal cord involvement or cauda equina, due to pathological fracture or compressive epidural abscess
Wright serology was positive in our patient , a medical treatment combining double antibiotic therapy : Rifampicin and Doxycycline. The outcome was favorable, with neurological improvement and no sequelae or relapse.
Kewords: Cervical Spondylodiscitis , anterior epidural collection,decompression, serology