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The spine duo: A rare case of Brucella spondylodiscitis with spondylolisthesis
Sushma Krishna1, Sumanth Kaiwar2, Amrithlal A Mascarenhas2, G Poorani3, Surya Dhilipan2, GN Lakshmikantha4
1 Department of Microbiology, Central laboratory, St. Martha’s Hospital, Bengaluru, Karnataka, India
2 Department of Spine Disorders, St. Martha’s Hospital, Bengaluru, Karnataka, India
3 Department of General Medicine, St. Martha’s Hospital, Bengaluru, Karnataka, India
4 Department of Radiology, St. Martha’s Hospital, Bengaluru, Karnataka, India
Correspondence Address:
Dr. Sushma Krishna
Department of Microbiology, Central Laboratory, St. Martha’s Hospital, #5, Nrupathunga Rd, RBI Colony, Sampangi Rama Nagara, Bengaluru 560001, Karnataka
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/JOASP.JOASP_38_21
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We describe a case of a 45-year-old dairy farmer who came with complaints of fever, back pain, and inability to walk following a fall. The diagnosis was based on consistent clinical features, radiological findings, positive antibody titers, and a favorable response to therapy. Brucella spondylitis, although rare, is a known entity in the literature. However to the best of our knowledge, this is the first case of concurrent Brucella spondylodiscitis with spondylolisthesis at the same vertebral level being reported from the country. A high index of suspicion is required to make the diagnosis of spine brucellosis presenting with features of spondylodiscitis with spondylolisthesis. Early initiation of definitive treatment helps in complete recovery. Emphasis has to be on educating the dairy farmers about the measures to prevent animal–human transmission, more so significant in cases presenting with complications. |
