Abstract

BOLANOS TORO, Omar Fernando; SALDARRIAGA RIVERA, Lina María;  and  HOYOS PULGARIN, Julián Andrés. Brucellosis and sacroiliitis: A differential diagnosis to keep in mind. Rev.Colomb.Reumatol. [online]. 2022, vol.29, n.2, pp.145-150.  Epub Feb 25, 2023. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2020.06.014.

Brucellosis is a zoonosis that causes a multi-organ granulomatous infection. It has diverse and non-specific clinic features that can make diagnosis difficult. Medical personnel often do not recognize it early. Delayed treatment is associated with high morbidity and even mortality. Its timely diagnosis requires a high index of suspicion. The case is presented of a 35-year-old male zootechnologist, previously healthy, with a progressive picture of two months of evolution of irradiated low back pain to the left hip, nocturnal diaphoresis, and unintentional weight loss. Elevation of acute phase reactants was documented and magnetic resonance imaging found signs of iliopsoas tendonitis and inflammatory changes in the left sacroiliac joint. The IgG and IgM antibodies using an immunoassay forbrucella were positive. After establishing antibiotic treatment, a marked clinical improvement, with resolution of the inflammatory process was evident.

Keywords : Brucellosis; Bovine; Sacroiliitis; Low back pain; Spondylitis.

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