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date: 09 December 2021

Chapter 92 reviews musculoskeletal brucellosis. Brucellosis is a zoonosis of worldwide distribution that is caused by small, gram-negative, nonencapsulated coccobacilli of the genus Brucella. This infection involves granulomatous reaction of the reticuloendothelial system. Musculoskeletal involvement is variable and occurs in 10-85% of patients with brucellosis. Musculoskeletal infection may manifest as sacroiliitis, spondylitis/spondylodiscitis, arthritis, bursitis, tenosynovitis, and osteomyelitis. The spine and sacroiliac joints are the most common locations. In musculoskeletal brucellosis, evaluation usually begins with radiography. MRI and CT are more sensitive and are used to evaluate the extent of disease. Brucellosis should be included in the differential diagnosis of a patient with arthralgia or symptoms of musculoskeletal system disorders, especially in endemic areas.

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