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

Abstract

References

Relative Articles

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

Zhou Ping , Shi Chun Xiang , Huang Zheng . Effect of Nursing Intervention Based on Fast Track Surgery Concept on Postoperative Recovery of Patients with Plantar Toe Joint Arthroplasty[J]. Journal of Kunming Medical University, 2017, 38(11): 144-148.

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,

Supplements(0)

Cited By

Cited by

Periodical cited type(14)

1.	魏日芳，何晓艳，姚芳，姜凡. 软包装冰袋冰敷法结合递进式目标护理对足踝骨折患者疼痛、肿胀程度及康复积极性的影响. 临床医学研究与实践. 2023(12): 141-143 .
2.	朱丽娜. 快速康复外科理念在急性胃穿孔患者围手术期的应用效果. 河南医学研究. 2021(03): 540-542 .
3.	徐美英. 多元化护理干预在手、足外伤患者中的应用效果. 中国当代医药. 2020(03): 226-228 .
4.	侯紫燕. FTS理论的护理干预在老年胆石症患者围手术期中的应用观察. 现代诊断与治疗. 2020(18): 3004-3006 .
5.	谢珣. FTS理念在股骨颈骨折患者护理中的应用效果. 河南医学研究. 2020(30): 5718-5719 .
6.	汪玲丽，骆俊秀，周凯，焦炀. 基于快速外科康复理念的综合护理干预对MNT治疗下肢静脉曲张患者术后康复效果的影响. 淮海医药. 2020(06): 651-653 .
7.	姜丹. 腹部手术病人术后疼痛的全科护理效果观察. 智慧健康. 2019(11): 20-21+24 .
8.	张红艳，曾丽英，赖雪媛. 人工跖趾关节置换术快速康复护理. 按摩与康复医学. 2019(14): 77-78 .
9.	刘琰. 研究护理干预对手外科患者术后镇痛及康复的影响. 世界最新医学信息文摘. 2019(56): 277+279 .
10.	武东琴. FTS理念的护理干预对股骨远端骨折患者术后下肢DVT发生率的影响. 黑龙江中医药. 2019(04): 300-301 .
11.	孟黎，黄家铭，张莉，严植燕，陆丽华. 第二跖趾关节移植修复掌指关节术后血运观察专科护理的临床应用效果体会. 中国实用医药. 2019(30): 174-176 .
12.	梁娟. 护理干预对关节置换术后患者疼痛及康复的效果. 中国农村卫生. 2019(20): 15 .
13.	黄家铭，张莉，陆丽华. 多模式健康教育在跖趾关节移植修复掌指关节术后功能锻炼中的应用及对患者VAS评分的影响. 中国医药科学. 2018(13): 107-110 .
14.	谭冬霞. 基于快速外科康复理念的手术室护理干预对患者术中临床指标和术后生活质量的影响. 中国农村卫生. 2018(21): 36-38 .