BRUCELLOSIS REVEALED BY A THORACIC ANEURY SM AND A SPONDYLODISCITIS

Brucellosis, which decreased during the eighties in France, remains a public health problem in many Mediterranean countries. We report the c ase of a 65-year old patient native of Morocco, of thoracic aorta aneu rysm and lumbar spondylodiscitis due to Brucella melitensis, revealed by haemoptysis and lumbar pains, with a favourable outcome after aorti c graft resection, spinal plaster immobilization and specific lengthy antibiotic treatment. This case report is characterized by the absence of endocarditis or infectious focus near the aneurysm. Diagnosis of a neurysm and spondilitis due to Brucella melitensis is based on imaging and bacteriological and serological examination. Because of a clinica l and biological intolerance for rifampicin and cotrimoxazole, this pa tient received ofloxacin-doxycyclin-streptomycin. We discuss antibioti c recommendations and stress the interest of the early diagnosis of co mplicated forms of brucellosis for a better prognosis.