VERTEBRAL OSTEOMYELITIS IN QATAR

Twenty-eight cases of vertebral osteomyelitis were diagnosed at Hamad General Hospital in Qatar between January 1988 and December 1991: 16 ( 57.2%) cases were tuberculous spondylitis, 6 (21.4%) Brucella spondyli tis, 3 (10.7%) Staphylococcus aureus spondylitis, 2 (7.1%) Salmonella spondylitis, and 1 (3.6%) Pseudomonas cepacia spondylitis. Plain verte bral x-ray films and CT scans were abnormal in all patients. Bone and gallium scans were abnormal in 87.5% and 64% of cases respectively. Cl inical manifestations, haematological and radiological investigations were not able to differentiate between the causes. Serological tests w ere helpful in diagnosing Brucella spondylitis. CT-guided needle biops y was able to identify the aetiology in 90% of cases. We conclude that invasive tests are still needed to establish the microbiological diag nosis and to guide antimicrobial therapy in most cases of vertebral os teomyelitis.