AB1080 BRUCELLAR SPONDYLODISCITIS: EPIDEMIOLOGICAL, CLINICAL AND BIOLOGICAL ASPECTS

Background Brucellosis is a systemic infection characterized by significant clinical polymorphism and non-specific manifestations. The spine common location for brucellosis. Objectives aim of this study was to describe the epidemiological, biological characteristics brucellar spondylodiscitis. Methods A retrospective over period 15 years, including 18 patients diagnosed with spondylodiscitis on clinical, and/or imaging data. Results Eighteen cases were collected (13 men 5 woman). mean age 52 years [19-76]. main symptom unifocal or diffuse spinal pain associated not radiculalgia. Inflammatory reported in 12 cases. Thirteen consumed raw milk, eleven had contact farm animals professional exposure. average duration symptoms 5.7 months [0.5-12], disease progressive onset 13 patients. general signs frequent: deterioration condition cases), fever (12 cases) night sweats (6 cases). All inflammatory syndrome. Wright’s serology, performed 17 patients, positive Rose Bengal test tested. Diagnosis indirect immunofluorescence, 11 nine However, blood cultures, carried out disco-vertebral biopsy, 9 did find causal agent. Conclusion diagnosis must be based arguments examinations. Immunological examinations, however, seem more contributory should case diagnostic doubt negative bacteriological investigation. Disclosure Interests None declared