Karabay, OğuzGürel, KamilSirmatel, ÖcalSırmatel, Fatma2021-06-232021-06-2320071175-8716https://hdl.handle.net/20.500.12491/4249https://www.scopus.com/inward/record.uri?eid=2-s2.0-37249020021&partnerID=40&md5=eebcdf6d4763836623babfd4c5a16ea0A 39-year-old man presented to our hospital complaining of fever with chills, night sweats, and headaches of 3 months’ duration. The patient was suffering from severe lumbago, exacerbated by movement. Although he had physical therapy for his back pain, there was no improvement. On examination, his pulse was 80/min, blood pressure 110/70 mmHg, and temperature 37.8°C. Liver palpable 2 cm below the right costal margin was firm and non-tender. Other system examinations were unremarkable. Investigations revealed haemoglobin of 13.9 gm, ESR 60 mm/h, AST 45 U/L, and ALT 56 U/L (normal 0–40 U/L). Remaining blood biochemical parameters were within normal limits. Brucella serology in blood, done by the standard tube agglutination (STA) method, was positive with a titre of 1:320. Blood cultures were positive for Brucella spp by the BACTEC system. A plain lateral radiography revealed blunting of the anterosuperior corner of the L4 vertebrae (Figure 1). This finding arose the suspicion of erosion which was confirmed with a subsequent lumbar spine CT examination (Figure 2).eninfo:eu-repo/semantics/closedAccessAdultArticleBrucellaBrucellosisArticle12012642-s2.0-37249020021Q3WOS:000421164300015N/A