Brucellar Spondylodiscitis - A Silent Cause of Concern

Abstract

A 68-year-old male with a history of persistent lower back discomfort visited our orthopedic department. Based on magnetic resonance imaging that was compatible with infective spondylodiscitis at a medical facility close to his home, spinal tuberculosis (TB) was suspected, and the patient was transferred to our hospital for further therapy. The patient was treated appropriately after investigations revealed that he had an unusual diagnosis of Brucellar spondylodiscitis. Therefore, it must be taken into consideration as a differential diagnosis when a patient presents with lower back discomfort (especially in the elderly) and symptoms of a persistent infection. Brucellar spondylodiscitis may clinically mimic spinal TB. Serological screening is essential for the early diagnosis and treatment of spinal brucellosis.