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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 64-B, Issue 4 | Pages 429 - 431
1 Aug 1982
Samra Y Hertz M Shaked Y Zwas S Altman G

Three cases of spinal osteomyelitis due to brucellosis are reported, all in women. Radiological confirmation was delayed for at least three months after the first clinical manifestation, while in one patient a bone scan was positive at an early stage. In two of the three cases the diagnosis was delayed because of insufficient awareness of the disease. Spinal osteomyelitis caused by Brucella is indistinguishable radiologically from that caused by other micro-organisms and needle aspiration or exploration is frequently performed to establish the correct diagnosis. Increased awareness of brucellosis and the carrying out of appropriate blood cultures and serological tests may make these procedures unnecessary.