• Eur Spine J · Jan 1997

    Case Reports

    Brucellosis of the spine with a synchronous Staphylococcus aureus pyogenic elbow infection.

    • G J Velan, J Leitner, Y Folman, and R Gepstein.
    • Department of Orthopedics, Rabin Medical Center, Hasharon Hospital, Petach-Tiqua, Israel.
    • Eur Spine J. 1997 Jan 1; 6 (4): 284285284-5.

    AbstractStaphylococcus aureus osteomyelitis and pyogenic arthritis has a different pattern in the elderly than in the young. The axial skeleton is the most frequent site of infection and treatment is usually by intravenous antibiotics. We report a case of Staph. aureus septic arthritis of the elbow with concomitant osteomyelitis of the spine that was thought to be due to Staph. aureus, but culture of debrided material from the lesion grew Brucella in culture. We suggest that in the elderly it is advisable to obtain a tissue culture diagnosis and not to instigate therapy based on positive blood cultures or a concomitant infection.

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