Bilateral sacroiliitis and uveitis comorbidity: Brucellosis? Ankylosing spondylitis?


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Akyol L., Aslan K., Özgen M., Sayarlioglu M.

BMJ Case Reports, cilt.2015, 2015 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 2015
  • Basım Tarihi: 2015
  • Doi Numarası: 10.1136/bcr-2015-211461
  • Dergi Adı: BMJ Case Reports
  • Derginin Tarandığı İndeksler: Scopus
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

We present a rare case of a comorbidity of sacroiliitis and brucellosis infection. A 28-year-old woman received irregular medication due to ongoing backache and hip pain for 5 years. The patient presented to our hospital for evaluation of visual loss and was diagnosed with uveitis. Sacroiliac MRI was performed to investigate the inflammatory backache and hip pain, and the aetiology of the uveitis, revealing the presence of sacroiliitis. The patient's blood test results were as follows: positive brucellosis Rose Bengal test and positive tube agglutination test with a titre of 1/640. The patient was treated with doxycycline and rifampicin for 8 weeks for the brucellosis infection, and with acemetacin for the ankylosing spondylitis. The patient's back and hip pain decreased significantly 8 weeks later; however, the uveitis was not controlled by the treatment. Therefore, anti-tumour necrosis factor (infliximab) treatment was started.