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    Lumbar Spinal Root Compression Caused by Brucella Granuloma
    (LIPPINCOTT WILLIAMS & WILKINS, 1998) Özerbil, Ö. M.; Ural, O; Topatan, H. İ.; Eröngun, U.
    Study Design. A case report of rarely seen extradural brucellosis granuloma causing spinal root compression in the lumbar region. Objective. To point out the possibility of extradural compression caused by brucellosis. Summary of Background Data. Many investigators have indicated that myelopathy or radiculopathy caused by irritation or compression by tiny abscess, disc herniation, or extradural granuloma may occur in brucellosis. Failure to make the correct diagnosis is possible because of the absence of such symptoms of brucellosis as fever, sweating, or fatigue and because findings of physical examination, radiography, and myelography indicate intervertebral disc herniation. Methods. Review and discussion of the case history are presented. Results. Brucella granuloma compressing the right L5 root and dural sac was diagnosed on computed tomographic scans and was excised subtotally after laminectomy and facetectomy. Conclusion. The possibility of extradural compression caused by brucellosis should be considered in endemic areas and must be differentiated from an intervertebral disc herniation by means of agglutination testing and bone scan.
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    Urethral cultures in patients with spinal cord injury
    (NATURE PUBLISHING GROUP, 2004) Levendoglu, F; Ugurlu, H; Ozerbil, OM; Tuncer, I; Ural, O
    Study design: Prospective analysis. Objectives: To investigate the colonization of the distal urethra and bladder during the initial stages of rehabilitation in acute spinal-cord injury(SCI) and to examine the association between bacteriuria and colonization of the distal urethra. Setting: Selcuk University Meram Faculty of Medicine, Konya, Turkey. Methods: A total of 27 patients with SCI (13 females and 14 males) and 40 controls without evidence of disease of the urinary tract were studied. Cultures were taken from the patients who applied clean intermittent catheterization and compared with normal subjects. Results: Escherichia coli was predominantly isolated from the urine and urethral cultures of both female and male SCI patients. Colonization of other bacteria in the urine and urethral cultures was similar in both female and male patients, except for Pseudomonas, which was colonized in male patients. In all, 72% of patients who had E. coli positive urethral cultures also had E. coli colonization in their simultaneous urine cultures. There was concordance between urethra and urine cultures concerning the growth of E. coli (P=0.82). When urethral cultures collected 1 week before were evaluated in patients with E. coli positive urine cultures (n=24 cultures), 15 of these urethral cultures also had E. coli colonization. There was concordance between urethra and urine cultures concerning the growth of E. coli (P=0.66). Conclusions: Our study suggested that urethral. ora was a significant source for the development of urinary infection in spinal cord-injured patients.