Differential Diagnosis for Brucellosis Spondyloarthritits vs Pott's Disease
Single Most Likely Diagnosis
- Brucellosis spondyloarthritits: This diagnosis is likely if the patient has a history of exposure to animals or animal products, particularly in endemic areas, and presents with symptoms such as back pain, fever, and fatigue.
- Pott's disease (Tuberculous spondylitis): This diagnosis is likely if the patient has a history of tuberculosis exposure, lives in an endemic area, or has a compromised immune system, and presents with symptoms such as back pain, fever, and weight loss.
Other Likely Diagnoses
- Pyogenic spondylitis: This diagnosis is possible if the patient has a history of recent infection, trauma, or surgery, and presents with symptoms such as back pain, fever, and localized tenderness.
- Spondyloarthropathy (e.g., ankylosing spondylitis): This diagnosis is possible if the patient has a history of chronic back pain, stiffness, and limited mobility, particularly in young adults.
- Degenerative disc disease: This diagnosis is possible if the patient has a history of chronic back pain, particularly in older adults, and presents with symptoms such as back pain, stiffness, and limited mobility.
Do Not Miss Diagnoses
- Spinal epidural abscess: This diagnosis is critical to consider if the patient presents with symptoms such as severe back pain, fever, and neurological deficits, as prompt treatment is necessary to prevent serious complications.
- Spinal tumor: This diagnosis is critical to consider if the patient presents with symptoms such as back pain, weakness, and sensory changes, as prompt treatment is necessary to prevent serious complications.
- Osteomyelitis: This diagnosis is critical to consider if the patient has a history of recent infection, trauma, or surgery, and presents with symptoms such as back pain, fever, and localized tenderness.
Rare Diagnoses
- Spondyloarthropathy associated with inflammatory bowel disease: This diagnosis is rare but possible if the patient has a history of inflammatory bowel disease and presents with symptoms such as back pain, stiffness, and limited mobility.
- Sarcoidosis: This diagnosis is rare but possible if the patient presents with symptoms such as back pain, fever, and lung involvement, particularly in endemic areas.
- Brucella-endocarditis: This diagnosis is rare but possible if the patient has a history of brucellosis and presents with symptoms such as fever, heart murmur, and embolic phenomena.