Can imaging modalities be used as follow-up criteria after brucellar sacroiliitis treatment?
Introduction: This study aimed to identify a follow-up modality that can be used to evaluate therapeutic responses in patients receiving treatment for brucellar sacroillitis and to determine whether antibiotherapy can be stopped. Methodology: A total of 32 patients with sacroiliac joint involvement...
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The Journal of Infection in Developing Countries
2017-02-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/6599 |
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| author | Aybars Bilgeturk Hanefi Cem Gul Ahmet Karakas Gurkan Mert Cumhur Artuk Can Polat Eyigun |
| author_facet | Aybars Bilgeturk Hanefi Cem Gul Ahmet Karakas Gurkan Mert Cumhur Artuk Can Polat Eyigun |
| author_sort | Aybars Bilgeturk |
| collection | DOAJ |
| description | Introduction: This study aimed to identify a follow-up modality that can be used to evaluate therapeutic responses in patients receiving treatment for brucellar sacroillitis and to determine whether antibiotherapy can be stopped.
Methodology: A total of 32 patients with sacroiliac joint involvement demonstrated via magnetic resonance imaging or bone scintigraphy were followed up and treated. Patients received 200 mg/day of doxycycline and 600–900 mg/day of rifampicin for 3–21 months, and 1 g/day of streptomycin for 21 days.
Results: The mean age of the 32 patients involved was 21.81 ± 4.09. In total, 10/32 patients did not complete therapy, and the remaining 22 patients received combination antibiotic treatment for a mean of 8.95 ± 4.34 months. Of the 22 patients, 15 underwent MRI, and 7 of them did not consent to MRI. Similarly, 17 patients were followed up by bone scintigraphy, and 5 patients did not have scintigraphy results. In 9/17 patients followed up with bone scintigraphy, sacroiliitis findings were found to reduce after a mean of 7.44 ± 3.71 months, whereas in 12/15 patients on whom MRI was performed, there were no active sacroiliitis findings for a mean of 6.95 ± 2.83 months.
Conclusions: While active involvement findings in bone scintigraphy were observed for a longer period in scintigraphy images, active sacroiliitis findings disappeared in a relatively shorter period of time with MRI. Therefore, we have demonstrated that high-resolution MRI is a very sensitive technique compared to scintigraphy.
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| format | Article |
| id | doaj-art-93c8d025a5a0409682300bb1d66dfb09 |
| institution | OA Journals |
| issn | 1972-2680 |
| language | English |
| publishDate | 2017-02-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-93c8d025a5a0409682300bb1d66dfb092025-08-20T02:14:14ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802017-02-01110210.3855/jidc.6599Can imaging modalities be used as follow-up criteria after brucellar sacroiliitis treatment?Aybars Bilgeturk0Hanefi Cem Gul1Ahmet Karakas2Gurkan Mert3Cumhur Artuk4Can Polat Eyigun5Gulhane Military Medical Academy and School of Medicine, General Tevfik Saglam Street, Ankara, TurkeyGulhane Military Medical Academy and School of Medicine, General Tevfik Saglam Street, Ankara, TurkeyGulhane Military Medical Academy and School of Medicine, General Tevfik Saglam Street, Ankara, TurkeyGulhane Military Medical Academy and School of Medicine, General Tevfik Saglam Street, Ankara, TurkeyGulhane Military Medical Academy and School of Medicine, General Tevfik Saglam Street, Ankara, TurkeyGulhane Military Medical Academy and School of Medicine, General Tevfik Saglam Street, Ankara, TurkeyIntroduction: This study aimed to identify a follow-up modality that can be used to evaluate therapeutic responses in patients receiving treatment for brucellar sacroillitis and to determine whether antibiotherapy can be stopped. Methodology: A total of 32 patients with sacroiliac joint involvement demonstrated via magnetic resonance imaging or bone scintigraphy were followed up and treated. Patients received 200 mg/day of doxycycline and 600–900 mg/day of rifampicin for 3–21 months, and 1 g/day of streptomycin for 21 days. Results: The mean age of the 32 patients involved was 21.81 ± 4.09. In total, 10/32 patients did not complete therapy, and the remaining 22 patients received combination antibiotic treatment for a mean of 8.95 ± 4.34 months. Of the 22 patients, 15 underwent MRI, and 7 of them did not consent to MRI. Similarly, 17 patients were followed up by bone scintigraphy, and 5 patients did not have scintigraphy results. In 9/17 patients followed up with bone scintigraphy, sacroiliitis findings were found to reduce after a mean of 7.44 ± 3.71 months, whereas in 12/15 patients on whom MRI was performed, there were no active sacroiliitis findings for a mean of 6.95 ± 2.83 months. Conclusions: While active involvement findings in bone scintigraphy were observed for a longer period in scintigraphy images, active sacroiliitis findings disappeared in a relatively shorter period of time with MRI. Therefore, we have demonstrated that high-resolution MRI is a very sensitive technique compared to scintigraphy. https://jidc.org/index.php/journal/article/view/6599brucellosissacroiliitisimaging techniquesbone scintigraphymagnetic resonance imaging |
| spellingShingle | Aybars Bilgeturk Hanefi Cem Gul Ahmet Karakas Gurkan Mert Cumhur Artuk Can Polat Eyigun Can imaging modalities be used as follow-up criteria after brucellar sacroiliitis treatment? Journal of Infection in Developing Countries brucellosis sacroiliitis imaging techniques bone scintigraphy magnetic resonance imaging |
| title | Can imaging modalities be used as follow-up criteria after brucellar sacroiliitis treatment? |
| title_full | Can imaging modalities be used as follow-up criteria after brucellar sacroiliitis treatment? |
| title_fullStr | Can imaging modalities be used as follow-up criteria after brucellar sacroiliitis treatment? |
| title_full_unstemmed | Can imaging modalities be used as follow-up criteria after brucellar sacroiliitis treatment? |
| title_short | Can imaging modalities be used as follow-up criteria after brucellar sacroiliitis treatment? |
| title_sort | can imaging modalities be used as follow up criteria after brucellar sacroiliitis treatment |
| topic | brucellosis sacroiliitis imaging techniques bone scintigraphy magnetic resonance imaging |
| url | https://jidc.org/index.php/journal/article/view/6599 |
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