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Infection and Drug Resistance Volume 16, 2023 - Issue
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CASE REPORT

Case Report: Metagenomic Next-Generation Sequencing Confirmed a Case of Spine Infection with Brucella melitensis in Non-Endemic Area

Jingjing Du1 Department of Clinical Laboratory, Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, People’s Republic of China
,
Yiqing Tao2 Department of Orthopedics, Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, People’s Republic of China
,
Jiaxing Yang1 Department of Clinical Laboratory, Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, People’s Republic of China
,
Jiachang Cai1 Department of Clinical Laboratory, Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, People’s Republic of China
,
Hongwei Zhou1 Department of Clinical Laboratory, Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, People’s Republic of ChinaORCID Iconhttps://orcid.org/0000-0002-9478-4023
ORCID Icon,
Rong Zhang1 Department of Clinical Laboratory, Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, People’s Republic of ChinaCorrespondence[email protected] [email protected]
ORCID Iconhttps://orcid.org/0000-0002-2174-7985
ORCID Icon &
Yanyan Hu1 Department of Clinical Laboratory, Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, People’s Republic of ChinaORCID Iconhttps://orcid.org/0000-0002-1698-5743
ORCID Icon show all
Pages 7219-7225 | Received 22 Aug 2023, Accepted 04 Nov 2023, Published online: 13 Nov 2023

Figures & data

Figure 1 MRI and CT findings of the patient. (A–C) The MRI examination showed the destruction of vertebral at thoracic 4–7 (mainly 5–6) on October 11, 2022. (D–F) The CT examinations revealed the destruction of the vertebral bodies of thoracic 5–6 and cervical 6–7 at different times. (D–F) represent the CTs on October 11, October 21 and November 26, respectively. The destruction of the thoracic 5–6 was well improved when compared to the CT on admission. The red rectangles indicate the region of thoracic 5–6.

Abbreviations: T2WI, T2 weighted imaging; FS-T2WI, fat saturation-T2 weighted imaging; T1WI, T1 weighted imaging; Oct., October; Nov., November.
Figure 1 MRI and CT findings of the patient. (A–C) The MRI examination showed the destruction of vertebral at thoracic 4–7 (mainly 5–6) on October 11, 2022. (D–F) The CT examinations revealed the destruction of the vertebral bodies of thoracic 5–6 and cervical 6–7 at different times. (D–F) represent the CTs on October 11, October 21 and November 26, respectively. The destruction of the thoracic 5–6 was well improved when compared to the CT on admission. The red rectangles indicate the region of thoracic 5–6.

Figure 2 Rose-Bengal plate test for brucellosis. (A) Negative for saline control; (B) Positive for agglutination of the patient’s serum.

Figure 2 Rose-Bengal plate test for brucellosis. (A) Negative for saline control; (B) Positive for agglutination of the patient’s serum.

Figure 3 Timeline of the patient’s hospitalization and discharge.

Figure 3 Timeline of the patient’s hospitalization and discharge.

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