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Year : 2022  |  Volume : 5  |  Issue : 2  |  Page : 241-245

Brucellosis sacroiliitis masquerading as inflammatory spondyloarthropathy

Department of Orthopaedic Surgery, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India

Correspondence Address:
Siddharth N Aiyer
Department of Spine Surgery, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/isj.isj_38_21

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Brucellosis is the most common zoonosis globally, and it is endemic to the Indian subcontinent. It can mimic a number of febrile illnesses and inflammatory disease conditions. An 18-year-old boy presented with low back pain and a fever of three-month duration. Magnetic resonance imaging revealed a unilateral sacroiliitis, which was being treated as an inflammatory spondyloarthropathy. Because of non-resolving symptoms, a biopsy was performed, which showed a granulomatous inflammation that was consistent with tuberculosis or brucellosis infection. A history of exposure to livestock and consumption of unpasteurized milk led to a clinical suspicion of brucellosis, which was confirmed on a positive serology. He was treated with antibiotics with improvement in symptoms and complete resolution of the sacroiliitis. A high index of suspicion must be maintained for brucellosis, especially in patients with a rural residence, exposure to livestock, and febrile illness with a clinically suspected unilateral sacroiliitis.

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