Imaging of brucellosis spondylitis
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摘要: 布鲁氏杆菌病是全球广泛流行的人畜共患传染性疾病,布鲁氏杆菌可以侵犯全身各个器官,骨关节受累是最常见的并发症,其中脊柱受累较常见,近年来随着布鲁氏杆菌病发病率的增多,布鲁氏杆菌性脊柱炎的患病率逐年上升,严重影响患者的生活生存质量,早期、准确的诊断和治疗对于布鲁氏杆菌性脊柱炎患者的预后至关重要。布鲁氏杆菌性脊柱炎的影像学诊断主要依赖X线、CT、磁共振成像,尤其是CT的三维成像重建技术对细微骨质结构的观察、磁共振成像对早期骨质改变的显示和较高软组织分辨率对布鲁氏杆菌性脊柱炎的早期诊断和鉴别诊断起到了关键的作用。本研究将从这3种检查对布鲁氏杆菌性脊柱炎的影像表现及鉴别诊断进行综述。Abstract: Brucellosis is the world's widespread zoonotic infectious disease, Brucella can invade all organs and tissues of the body. The most frequent complication of brucellosis is osteoarticular involvement, and spinal joints is the most common affected sites. In recent years, with the increase of the incidence of brucellosis, the prevalence of brucellosis spondylitis increased year by year, influencing the life quality of patient severely, early and appropriate diagnosis and treatment are crucial for the prognosis of brucellosis spondylitis. Imaging diagnosis of brucellosis spondylitis mainly depends on X-ray, CT and magnetic resonance imaging . Especially CT three-dimensional imaging reconstruction observation of the small bone structure, and magnetic resonance imaging showed early bone changes and high soft tissue resolution, plays a key role in the early diagnosis and differential diagnosis of brucellosis spondylitis.
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Key words:
- brucellosis /
- spondylitis /
- X-ray /
- CT /
- magnetic resonance imaging /
- differential diagnosis
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[1] Gatselis N, Makaritsis KP, Gabranis I, et al. Unusual cardiovascular complications of btucellosis presenting in two men:two case reports and a review of the literature[J]. J Med Case Rep, 2011, 5(1): 22-31. doi: 10.1186/1752-1947-5-22 [2] Fei Q, Yang Y, Li JJ, et al. Brucellar spondylodiscitis resulting in incomplete paralysis of the lower extremities:one case report and review of the literature(in Chinese)[J]. China J Clin, 2014, (2): 48-50. [3] 翟世峰, 孙宗祥, 姜勇波, 等. 哈尔滨市2015年人间布病疫情监测结果分析[J]. 中国公共卫生管理, 2017, 33(5): 648-52. [4] 华文浩, 万 钢, 徐新民, 等. 2008~2014年228例布鲁氏杆菌感染患者流行趋势分析[J]. 国际检验医学杂志, 2016, 37(1): 45-6, 48. doi: 10.3969/j.issn.1673-4130.2016.01.019 [5] Esmaeilnejad-Ganji SM, Esmaeilnejad-Ganji S. Osteoarticular manifestations of human brucellosis:a review[J]. World J Orthop, 2019, 10(2): 54-62. doi: 10.5312/wjo.v10.i2.54 [6] Smailnejad Gangi SM, Hasanjani Roushan MR, Janmohammadi N, et al. Outcomes of treatment in 50 cases with spinal brucellosis in Babol, Northern Iran[J]. J Infect Dev Ctries, 2012, 6(9): 654-9. [7] Li T, Liu T, Jiang Z, et al. Diagnosing pyogenic, brucella and tuberculous spondylitis using histopatholgy and MRI:A retrospective study[J]. Exp Ther Med, 2016, 12(4): 2069-77. doi: 10.3892/etm.2016.3602 [8] Mrabet D, Mizouni H, Khiari H, et al. Brucellar spondylodiscitis affecting non-contiguous spine levels[J]. BMJ Case Rep, 2011, 25(11): 37-9. [9] Mccormick Z, Lynch M, Chen D. Fever after traumatic spinal cord injury: a case of brucella sepsis[J]. PM R, 2013, 5(11): 982-4. doi: 10.1016/j.pmrj.2013.06.005 [10] Turunc T, Demiroglu YZ, Uncu H, et al. A comparative analysis of tuberculous, brucellar and pyogenic spontaneous spondylodiscitis patients[J]. J Infect, 2007, 55(2): 158-63. doi: 10.1016/j.jinf.2007.04.002 [11] Moraux A, Kermarrec E, Czarnecki E, et al. Spinal infections:typical and atypical imaging feat ures[J]. J Radiol, 2010, 91(92): 1049-56. [12] Lebre A, Velez J, Seixas D, et al. Brucellar spondylodiscitis: case series of the last 25 years[J]. Acta Med Port, 2014, 27(2): 204-10. doi: 10.20344/amp.4117 [13] 张培楠, 杨新明, 孟宪勇, 等. 布氏杆菌病性脊椎炎的影像学分型[J]. 河北医科大学学报, 2015, 36(3): 334-7. doi: 10.3969/j.issn.1007-3205.2015.03.027 [14] Bozgeyik Z, Aglamis S, Bozdag PG, et al. Magnetic resonance imaging findings of musculoskeletal brucellosis[J]. Clin Imaging, 2014, 38(5): 719-23. doi: 10.1016/j.clinimag.2014.04.007 [15] Oztekin O, Calli C, Adibelli Z, et al. Brucellar spondylodiscitis:magnetic resonance imaging features with conventional sequencesand diffusion-weighted imaging[J]. Radiol Med, 2010, 115(5): 794-803. doi: 10.1007/s11547-010-0530-3 [16] Bohndorf K, Kilcoyne RF. Traumatic injuries:imaging of peripheral musculoskeletal injuries[J]. Eur Radiol, 2002, 12(7): 1605-16. doi: 10.1007/s00330-002-1461-8 [17] Boudabbous S, Neroladaki A, Bagetakos I, et al. Feasibility of synthetic MRI in knee imaging in routine practice[J]. Acta Radiol Open, 2018, 7(5): 1-9. [18] Arkun R, Mete BD. Musculoskeletal brucellosis[J]. Semin Musculoskelet Radiol, 2011, 15(5): 470-9. doi: 10.1055/s-0031-1293493 [19] Tekkök IH, Berker M, Ozcan OE, et al. Brucellosis of the spine[J]. Neurosurgery, 1993, 33(5): 838-44. [20] Wu PY, Qin F. Diffusion tensor imaging in early diagnosis and prognostic prediction of intervertebral disc change in patients with brucella spondylitis[J]. Act Academ Med Sci, 2018, 40(4): 519-27. [21] Celik AK, Aypak A, Aypak C. Comparative analysis of tuberculous and brucellar apondylodiscitis[J]. Trop Doct, 2011, 41(3): 172-4. doi: 10.1258/td.2011.110013 [22] Tali ET, Koc AM, Oner AY. Spinal Brucellosis[J]. Neuroimag Clin N Am, 2015, 25(2): 233-45. doi: 10.1016/j.nic.2015.01.004 [23] Boyaci A, Boyaci N, Tutoglu A, et al. Spinal epidural abscess in brucellosis[J]. BMJ Case Rep, 2013, 203(sep26): 1-3. [24] Gao M, Sun JM, Jiang ZS, et al. Comparison of tuberculous and brucellar spondylitis on magnetic resonance images[J]. Spine (Phila Pa 1976), 2017, 42(2): 113-21. doi: 10.1097/BRS.0000000000001697 [25] Ledermann HP, Schweitzer ME, Morrison WB, et al. MR imaging findings in spinal infections: rules or myths?[J]. Radiology, 2003, 228(2): 506-14. doi: 10.1148/radiol.2282020752 [26] Li T, Li W, Du Y, et al. Discrimination of pyogenic spondylitis from brucellar spondylitis on MRI[J]. Medicine (Baltimore), 2018, 97(26): e11195-202. doi: 10.1097/MD.0000000000011195 [27] Tyler KL. Acute pyogenic diskitis(spondylodiskitis)in adults[J]. Rev Neurol Dis, 2008, 5(1): 8-13. [28] Galhotra RD, Jain T, Sandhu P, et al. Utility of magnetic resonance imaging in the differential diagnosis of tubercular and pyogenic spondylodiscitis[J]. J Nat Sci Biol Med, 2015, 6(2): 388-93. doi: 10.4103/0976-9668.160016 [29] 王 庆. 腰椎椎体终板骨软骨炎MRI表现及诊断分析[J]. 山东医学高等专科学校学报, 2018, 40(5): 389-90. doi: 10.3969/j.issn.1674-0947.2018.05.027 [30] 陈 阵. 腰椎间盘病变致下腰痛的MRI诊断[J]. 河南外科学杂志, 2010, 16(5): 50-2. doi: 10.3969/j.issn.1007-8991.2010.05.030
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