Lumbar spines brucellosis: presentation, diagnosis and treatment

Nineteen cases with lumbar spines brucella were studied during a 3 year period. The diagnosis was based on history of exposure, compatible symptoms and signs, plain radiographs, CT [in some cases] and high antibody titre. Combined antibiotic treatment [tetracycline, streptomycin and rifampicim] for long duration [3 months] was considered the most effective tool in the treatment. The adequacy of treatment was best monitored with repeated agglutination titers, and the duration of treatment proved to be more important than the antibiotic agent itself