Spondylodiscite brucellienne du rachis cervical
Redouane Roukhsi, Salah Ben Elhend
Corresponding author: Redouane Roukhsi, Service de Radiologie, 3ème Hôpital Militaire, Laâyoune, Maroc 
Received: 10 Dec 2019 - Accepted: 15 Dec 2019 - Published: 07 Jan 2020
Domain: Radiology
Keywords: Brucellose, spondylodiscite infectieuse, IRM
©Redouane Roukhsi et al. PAMJ - Clinical Medicine (ISSN: 2707-2797). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Redouane Roukhsi et al. Spondylodiscite brucellienne du rachis cervical. PAMJ - Clinical Medicine. 2020;2:4. [doi: 10.11604/pamj-cm.2020.2.4.21266]
Available online at: https://www.clinical-medicine.panafrican-med-journal.com/content/article/2/4/full
Images in medicine 
Spondylodiscite brucellienne du rachis cervical
Spondylodiscite brucellienne du rachis cervical
Brucellar spondylodiscitis of the cervical spine
Redouane Roukhsi1,&, Salah Ben Elhend2
1Service de Radiologie, 3ème Hôpital Militaire, Laâyoune, Maroc, 2Service de Radiologie, HMA Hôpital Militaire, Marrakech, Maroc
&Auteur correspondant
Redouane Roukhsi, Service de Radiologie, 3ème Hôpital Militaire, Laâyoune, Maroc
Brucellar spondylodiscitis rarely occurs in the cervical spine. We here present some MRI images characteristic of brucellar spondylodiscitis of the cervical spine. The radiological appearance is non-specific. Diagnosis is based on serology. MRI allows early diagnosis, the search for other sites and the detection of any possible complication. The study involved a 61-year old patient who had consumed raw milk. He presented with fever, night sweats associated with cervical rachialgias. There was no neurological deficit. MRI showed infectious spondylodiscitis C4-C5. Brucellar spondylodiscitis was confirmed by Wright's serological test. Medical treatment was based on dual antibiotic therapy: rifampicin and doxycycline.
Key words: Brucellosis, infectious spondylodiscitis, MRI
La spondylodiscite brucellienne touche rarement le rachis cervical. Nous rapportons des images IRM caractéristiques de cette localisation. L´aspect radiologique n´est pas spécifique. Le diagnostic de certitude repose sur la sérologie. L'IRM permet le diagnostic précoce, la recherche d'autres localisations et la mise en évidence d'une éventuelle complication. Il s´agit d´un patient de 61 ans, chez qui, une consommation de lait cru a été notée, consultant pour une fièvre, des sueurs nocturnes associées à des rachialgies cervicales. Ceci sans notion de déficit neurologique. L´IRM a objectivé un aspect en faveur d´une spondylodiscite infectieuse C4-C5. L'étiologie brucellienne de la spondylodiscite a été confirmée dans notre cas par la sérologie de Wright. Un traitement médical associant une double antibiothérapie : Rifampicine et Doxycycline a été instauré notre malade.
Figure 1: spondylodiscite brucellienne du rachis cervical
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