{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T17:01:09Z","timestamp":1780074069770,"version":"3.54.0"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Involvement of the skeletal system is a common complication of brucellosis. However, muscle involvement or paraspinal abscess formation are rare complications. Paraspinal abscess usually develops secondary to spondylitis. A case is reported here of a 33-year-old woman with symptoms of night sweats, fever and low back pain. Rose-Bengal test for brucellosis was positive and Brucella standard tube agglutination test was positive at a titre of 1\/160. The diagnosis was made on MRI. The patient was treated with doxycycline and rifampin daily for 16\u2005weeks. On day 14 of treatment, decline was observed in the patient\u2019s symptoms. In the presence of inflammatory lower back pain and fever, brucellosis should be considered particularly in the endemic areas. Furthermore, tuberculosis should be remembered in the differential diagnosis when a spinal epidural abscess is determined.<\/jats:p>","DOI":"10.1136\/bcr-2013-200946","type":"journal-article","created":{"date-parts":[[2013,9,26]],"date-time":"2013-09-26T11:36:33Z","timestamp":1380195393000},"page":"bcr2013200946","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Spinal epidural abscess in brucellosis"],"prefix":"10.1136","volume":"2013","author":[{"given":"Ahmet","family":"Boyaci","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurefsan","family":"Boyaci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Tutoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilek","family":"Sen Dokumac\u0131","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,9,26]]},"reference":[{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.1","first-page":"41","article-title":"Natural history of brucellosis in an endemic region in different time periods","volume":"2013","author":"Bosilkovski","year":"2009","journal-title":"Acta Clin Croat"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.2","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.1016\/S0140-6736(03)14798-8","article-title":"Lyme borreliosis","volume":"2013","author":"Stanek","year":"2003","journal-title":"Lancet"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.3","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.surneu.2005.10.019","article-title":"Spinal epidural abscess due to Brucella","volume":"2013","author":"Gorgulu","year":"2006","journal-title":"Surg Neurol"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.4","doi-asserted-by":"crossref","first-page":"1440","DOI":"10.1086\/313524","article-title":"Brucellar spondylitis: review of 35 cases and literature survey","volume":"2013","author":"Solera","year":"1999","journal-title":"Clin Infect Dis"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.5","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1007\/s00256-007-0371-x","article-title":"Spinal brucellosis: a review","volume":"2013","author":"ChelliBouaziz","year":"2008","journal-title":"Skeletal Radiol"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.6","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1007\/BF01411171","article-title":"Spinal epidural abscess\u2014review of 10 cases","volume":"2013","author":"Tacconi","year":"1996","journal-title":"Acta Neurochir (Wien)"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.7","first-page":"1","article-title":"Spinal epidural abscess in clinical practice","volume":"2013","author":"Sendi","year":"2008","journal-title":"QJM"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.8","unstructured":"Gellin BG Weingarten K Gamache FW Jr . Epidural abscess. In: Scheld WM Whitley RJ Durack DT . eds. Infections of the central nervous system. 2nd edn. Philadelphia: Lippincott-Raven Publishers, 1997:507."},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.9","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1007\/s00701-005-0607-2","article-title":"Lumbosacral spinal epidural abscess caused by Brucella melitensis","volume":"2013","author":"Izci","year":"2005","journal-title":"Acta Neurochir (Wien)"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.10","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S1130-1473(09)70183-6","article-title":"Lumbar epidural abscess caused by Brucella species: report of two cases","volume":"2013","author":"Daglioglu","year":"2009","journal-title":"Neurocirugia (Astur)"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.11","first-page":"245","article-title":"Spinal epidural abscess caused by Brucella: case report","volume":"2013","author":"Paz","year":"1994","journal-title":"J Neurosurg Sci"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.12","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1046\/j.1468-1331.1999.610087.x","article-title":"Brucellar spinal epidural abscess","volume":"2013","author":"Pina","year":"1999","journal-title":"Eur J Neurol"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.13","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1136\/ard.56.12.709","article-title":"Pyogenic, tuberculous, and brucellar vertebral osteomyelitis: a descriptive and comparative study of 219 cases","volume":"2013","author":"Colmenero","year":"1997","journal-title":"Ann Rheum Dis"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.14","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1148\/radiology.171.2.2704806","article-title":"Brucellar and tuberculous spondylitis: comparative imaging features","volume":"2013","author":"Sharif","year":"1989","journal-title":"Radiology"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.15","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1086\/525266","article-title":"Clinical findings, therapeutic approach, and outcome of brucellar vertebral osteomyelitis","volume":"2013","author":"Colmenero","year":"2008","journal-title":"Clin Infect Dis"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.16","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/j.ijid.2008.03.014","article-title":"Current therapeutic strategy in spinal brucellosis","volume":"2013","author":"Alp","year":"2008","journal-title":"Int J Infect Dis"},{"key":"2025042709222774000_2013.sep26_1.bcr2013200946.17","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/j.ijantimicag.2004.05.003","article-title":"Treatment of brucella spondylitis: lessons from an impossible meta-analysis and initial report of efficacy of a fluoroquinolone-containing regimen","volume":"2013","author":"Pappas","year":"2004","journal-title":"Int J Antimicrob Agents"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200946","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:22:37Z","timestamp":1745770957000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200946"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,26]]},"references-count":17,"alternative-id":["10.1136\/bcr-2013-200946"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200946","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9,26]]}}}