Imaging Features of Sporadic Brucella Spondylitis in Yunnan Province

Hong ZHAO; Shanshan WAN; Zaiqiang LIU; Yongming JIN; Ling YU; Shiping WANG

doi:10.12259/j.issn.2095-610X.S20221027

Volume 43 Issue 10

Oct. 2022

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2022 > 43(10): 98-103

Hong ZHAO, Shanshan WAN, Zaiqiang LIU, Yongming JIN, Ling YU, Shiping WANG. Imaging Features of Sporadic Brucella Spondylitis in Yunnan Province[J]. Journal of Kunming Medical University, 2022, 43(10): 98-103. doi: 10.12259/j.issn.2095-610X.S20221027

Citation:

Hong ZHAO, Shanshan WAN, Zaiqiang LIU, Yongming JIN, Ling YU, Shiping WANG. Imaging Features of Sporadic Brucella Spondylitis in Yunnan Province[J]. Journal of Kunming Medical University, 2022, 43(10): 98-103. doi: 10.12259/j.issn.2095-610X.S20221027

Citation:

PDF( 1505 KB)

Imaging Features of Sporadic Brucella Spondylitis in Yunnan Province

doi: 10.12259/j.issn.2095-610X.S20221027

Dept. of Radiology，The First People’s Hospital of Anning affiliated to Kunming University of Science and Technology，Anning Yunnan 650303，China

Received Date: 2022-01-01
Available Online: 2022-10-09
Publish Date: 2022-10-31

Abstract

Abstract

Objective To compare the clinical significance of brucellosis spondylitis imaging in Yunnan province. Methods The data of 38 patients with Brucella spondylitis confirmed by clinical and laboratory examination in our hospital from January 2014 to November 2021 were collected, all of whom were local residents of Yunnan province. The data obtained from MRI and CT examination of the patients for the first time （37 cases of MRI examination, 26 cases of CT examination, 25 cases of MRI and CT examination at the same time） were retrospectively analyzed. Results In this study, 37 cases （97.4%） were involved in lumbar vertebrae, 37 cases （97.4%） were involved in multiple vertebrae, and 1 case （2.7%） only showed abscess formation at the posterior margin of vertebrae. It was found that the lesions mainly occurred at the upper and lower edges of the vertebral body, and the L4-5 vertebral bodies were most frequently involved, accounting for 44.7% （17/38）. One case （2.7%） had flattening of two affected vertebrae and four cases （10.5%） had mild spondylolisthesis of the affected vertebrae. 35 cases （92.1%） were associated with different degrees of bone destruction. Thirty-six patients （94.7%） suffered intervertebral disc damage. 24 cases （63.2%） had paraspinal and/or epidural abscess, and 2 cases （8.33%） had paraspinal abscess involving the right psoas major muscle. Conclusions The CT and MRI imaging manifestations of sporadic Brucella spondylitis in Yunnan are diverse, and the involvement of dead bone and abscess into the psoas major muscle and epidural abscess formation alone cannot completely exclude the disease. It is of guiding significance and reference value to clinical diagnosis and treatment.
- Brucellosis,
- Spondylitis,
- Computerized Tomography,
- Magnetic Resonance Imagine

FullText(HTML)

References(23)

References

[1]	王鹏,和鸿. MRI在布鲁氏杆菌性脊柱炎临床诊断中的应用[J]. 宁夏医科大学学报,2015,37(3):257-259. doi: 10.16050/j.cnki.issn1674-6309.2015.03.007
[2]	Zhang F B,Li Z W,La X L,et al. Multiple-locus variable number tandem-repeat analysis of Brucella isolates from patients in Xinjiang,China[J]. International Journal of Clinical and Experimental Medicine,2015,8(9):15716-15723.
[3]	Buzgan T,Karahocagil M K,Irmak H,et al. Clinical manifestations and complications in 1028 cases of brucellosis:a retrospective evaluation and review of the literature[J]. International Journal of Infectious Diseases,2010,14(6):469-478. doi: 10.1016/j.ijid.2009.06.031
[4]	Lou P,Wang L,Zhang X,et al. Modelling Seasonal Brucellosis. Epidemics in Bayingolin Mongol Autonomous Prefecture of Xinjiang,China,2010-2014[J]. Biomed Research Internationa,2016,2016:5103718.
[5]	Bagheri A B,Ahmadi K,Chokan N M,et al. The diagnostic value of MRI in Brucella spondylitis with comparison to clinical and laboratory findings[J]. Acta Inform Med,2016,24(2):107-110. doi: 10.5455/aim.2016.24.107-110
[6]	杨新明,石蔚,阴彦林,等. 布氏杆菌性脊柱炎流行病学调查和临床药物治疗的相关研究[J]. 实用医学杂志,2008,24(9):1632-1634. doi: 10.3969/j.issn.1006-5725.2008.09.076
[7]	《中华传染病杂志》编辑委员会. 布鲁菌病诊疗专家共识. 中华传染病杂志, 2017, 35（12）: 705-710.
[8]	Gao M,Sun J,Jiang Z,et al. Comparison of tuberculous and brucellar spondylitis on magnetic resonance images[J]. Spine (Phila Pa,1976,),2017,42(2):113-121. doi: 10.1097/BRS.0000000000001697
[9]	石冬,蔚巍,李杰,等. 慢性布氏菌性脊柱炎影像学表现及鉴别诊断[J]. 医学影像学杂志,2018,28(2):276-279.
[10]	崔倩,胡家玮,贺丰泰,等. 非牧区布鲁菌性脊柱炎的影像特征分析[J]. 中华地方病学杂志,2021,40(7):588-592. doi: 10.3760/cma.j.cn231583-20210324-00089
[11]	Gheita T A,Sayed S,Azkalany G S. Subclinical sacroiliitis in brucellosis. Clinical presentation and MRI findings[J]. Z Rheumatol,2015,74(3):240-245. doi: 10.1007/s00393-014-1465-1
[12]	李学兵. 布氏杆菌脊柱炎的临床及磁共振成像影像学表现. 中国药物与临床[J]. 2012, 12（7）: 25-26.
[13]	李葳. 布鲁氏菌性脊柱炎与结核性脊柱炎的临床、病理及影像学表现对比研究[D]. 广州: 南方医科大学, 2018.
[14]	章鹏,许英杰,连秀峰,等. 椎间盘炎型腰椎布鲁杆菌性脊柱炎诊断及疗效临床研究[J]. 河北北方学院学报(自然科学版),2018,34(12):1-4+8.
[15]	Weil Y,Mattan Y,Liebergall M. Brucella prosthetic joint infection:a report of 3 cases and a review of the literature[J]. Clin Infect Dis,2003,36:e81-e86. doi: 10.1086/368084
[16]	吴广. 布氏杆菌病性脊柱炎的CT及MRI诊断[J]. 内蒙古中医药,2014,33(36):67. doi: 10.3969/j.issn.1006-0979.2014.36.070
[17]	邱立军,罗琳,杨涛,等. 布鲁氏菌性脊柱炎的CT、MRI表现[J]. 中国中西医结合影像学杂志,2017,15(5):580-582. doi: 10.3969/j.issn.1672-0512.2017.05.022
[18]	Erdem H,Elaldi N,Batirel A,et al. Comparison of brucellar and tuberculous spondylodiscitis patients:results of the multicenter "Backbone-1 Study"[J]. Spine J,2015,15(12):2509-2517. doi: 10.1016/j.spinee.2015.09.024
[19]	刘会娜,高菲菲,卫淑芳,等. 布鲁菌性脊柱炎影像诊断价值[J]. 中华放射学杂志,2019,53(1):40-45. doi: 10.3760/cma.j.issn.1005-1201.2019.01.009
[20]	李忠玉,柴玉洁,张建年. 布鲁杆菌性脊柱炎的影像学表现及治疗[J]. 临床骨科杂志,2022,25(1):43-47.
[21]	沈宇娟,钟剑锋,童照威,等. 浙江省湖州市10例布鲁菌病患者的临床特征分析[J]. 中华地方病学杂志,2020,39(11):821-824. doi: 10.3760/cma.j.cn231583-20200429-00107
[22]	何少波,孙宇鹏,等. 结核性与布鲁氏菌性脊柱炎鉴别诊断指标的探讨[J]. 中国矫形外科杂志.,2018,26(17):1580-1584.
[23]	姜广擎. 布氏杆菌性脊柱炎误诊为腰椎结核6例分析[J]. 中国误诊学杂志,2010,10(28):6942-6943.

Relative Articles(20)

Relative Articles

[1]	Qianting DUAN, Guanshun WANG, Rong DING, Na WANG, Hongli CUN, Ling YANG. Application of CT Radiomics in the Short-Term Prognosis of Combined Therapy for Hepatocellular Carcinoma. Journal of Kunming Medical University, 2023, 44(1): 128-134. doi: 10.12259/j.issn.2095-610X.S20220818
[2]	Sijia LIU, Yaying YANG, Chao PENG, Yamin LI. Application of Contrast-enhanced CT and MRI in Preoperative TNM Staging of Pancreatic Cancer. Journal of Kunming Medical University, 2023, 44(6): 107-112. doi: 10.12259/j.issn.2095-610X.S20230628
[3]	Shan JIANG, Pengyu LI, Ying HUANG. Epidemiological Analysis of Brucellosis in Some Areas of Yunnan. Journal of Kunming Medical University, 2022, 43(10): 43-48. doi: 10.12259/j.issn.2095-610X.S20221008
[4]	Hua-ying CHEN, Wei WANG, Bao-ling LIU, Yan BAO, Lei HU. Effect of Standardized Management Model on Improving the Quality of Life of Patients with Ankylosing Spondylitis. Journal of Kunming Medical University, 2021, 42(6): 161-165. doi: 10.12259/j.issn.2095-610X.S20210605
[5]	Ge WANG, Ling-jun SHEN, Guo-hui LI, Yan YANG, Ji-kun ZHENG, Li-juan YUAN. The Application Value of CT Pulmonary Blood Flow Distribution in the Diagnosis of Pulmonary Embolism. Journal of Kunming Medical University, 2021, 42(1): 135-141. doi: 10.12259/j.issn.2095-610X.S20210128
[6]	Sun Yu Peng , Zhang Chun Qiang , Du Kai Li , He Shao Bo , Guo Pei Yu , Zhao Run Min . The Value of T-SPOT.TB in Evaluating Treatment Effect of Tuberculous Vertebral Osteomyelitis. Journal of Kunming Medical University, 2018, 39(06): 86-90.
[7]	Zhuang Nai Jun , Di Xiao Dong , Wan Hong Yan , Fu Deng Li , Zhang Li Li . The Analysis of Missed Diagnosis and Misdiagnosis in the First Imaging Diagnosis of Cerebral Venous Thrombosis. Journal of Kunming Medical University, 2018, 39(01): 118-122.
[8]	Wu Xiao Tao , Li Chuan Jun , Wu Xin , Zhong Shi Yan . . Journal of Kunming Medical University, 2017, 38(03): 98-102.
[9]	Dang Yong , Duan Zhao . Staging Diagnosis of Endometrial Cancer by CT plus MRI and the Postoperative Level of VEGF-C. Journal of Kunming Medical University, 2017, 38(06): 124-129.
[10]	Zhang Zong Quan , Zhao Xin Xiang , Liu Wen Jun , Liu Ke Ping , Liu Dai Liang , He Ming . CT Image Features of Castleman's Disease. Journal of Kunming Medical University, 2017, 38(04): 58-62.
[11]	Zhang Yan , Hu Shun Yong , Yang Xuan Ying , Ma Li Ju . A Clinical and Laboratory Analysis of Brucellosis in Yunnan Province. Journal of Kunming Medical University, 2017, 38(01): 36-40.
[12]	He Yan . . Journal of Kunming Medical University,
[13]	Ai Yi Qin . . Journal of Kunming Medical University,
[14]	Dang Yong . . Journal of Kunming Medical University,
[15]	Jiao Shuang . . Journal of Kunming Medical University,
[16]	Jiang Chao Wu . . Journal of Kunming Medical University,
[17]	Zhang He Ming . . Journal of Kunming Medical University,
[18]	Sun Li Hui . . Journal of Kunming Medical University,
[19]	Zhang Li Fang . . Journal of Kunming Medical University,
[20]	. Differential Diagnosis of Thrombus in Portal Vein System from Cancer Embolus by CT. Journal of Kunming Medical University,