Background: Brucellosis, as an endemic disease in Iran, has bone and joint complications. The musculoskeletal involvement is among the most common complication of the disease. Here we review 5 cases of brucella spondylodiskitis.

Case Presentation: Three out of 5 cases were male and 2 remaining female. The Mean age of patients was 58.8±16.3 years. The most common clinical symptom was low back pain. There was a familial history of brucellosis in one case. Three cases had previous history of brucellosis. Three cases had consumed unpasteurized diary. All cases were positive for agglutination tests and all 5 cases had lumbar vertebral involvement in their MRI. Para-vertebral abscess were developed in 2 cases. All cases were cured with long-term medical treatment.

Conclusion: Regarding to high prevalence of brucellosis and the high frequency of its skeletal involvement, brucella spondylodiskitis should be considered among the differential diagnosis of low back pain. The early diagnosis and treatment of the disease could prevent the paravertebral abscess and other life-threatening nervous complications.