spironolactone--althiazide-drug-combination and Discitis

We have presented a patient of 71-year-age with brucellar spondylodiscitis, involving the cervical spine, especially the C3-C4 segment. The patient had painful percussion of the cervical spine and passive mobilization of the neck, decreased range of motion, and cervical paravertebral tenderness; but no abnormalities observed on neurological examination. Wright agglutination test for brucella was positive at 1/320. Cervical localization for brucellar spondylodiscitis is an unusual case and should be detected and treated as early as possible. In endemic regions, spinal involvement of brucellosis should be considered in cases with fever, neck and low back pain.

Topics: Aged; Anti-Bacterial Agents; Brucellosis; Cervical Vertebrae; Discitis; Doxycycline; Drug Combinations; Drug Therapy, Combination; Exercise Therapy; Humans; Magnetic Resonance Imaging; Male; Rifampin; Spironolactone; Sulfonamides