Surgical Management of Cervical Spinal Epidural Abscess Caused byBrucella Melitensis: Report of Two Cases and Review of the Literature
Year: 2012
Type: article
Study design: Case Report
Abstract: particularly raw milk and cheese 14,15) .Osteomyelitis usually occurs at the vertebrae especially at the lumbosacral area.Involvement of the epidural space is rare, but the formation of SEA was reported in less than 1.5% of the cases with neurological complications and generally associated with spondylitis 16,23,28) .The frequency of spinal involvement usually seen at the lumbar spine, thoracic and cervical spine respectively 1,7,26,30) .Osteoarticular involvement is the most common complication, which was reported up 10 to 85% in most series 1,7,10,19,26,30) .Sacroileitis and arthritis represent the acute form and frequently respond to the standard theraphies.It has been reported that the spinal column is generally affected with subacute and chronic forms of brucellosis 1,22) .Furthermore, spinal brucellosis usually affects elderly patients, whereas sacroileitis and arthritis are usually reported in the first three decades of life 1,7) .Infection of the epidural space results from hematogenous dissemination or local extension of the infection from adjacent structures, which might be originally infected from hematogenous spread.Approximately half of epidural abscess result from hematogenous
Authors: Mehmet Ali Ekici, Zühtü Özbek, Abdülkerim Gökoğlu, Ahmet Menkü
Institution: Erciyes University
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $300
OpenAlex ID: W2139392351