Aim: The aim of this study was to describe the imaging features of multilevel brucellar spondylitis and discuss the diagnostic challenges
Case: The authors report describes one case of noncontiguous synchronous multifocal involvement of thoracic and lumbar spine.
Results: Brucellosis is a zoonosis of worldwide distribution, relatively frequent in Mediterranean countries and in the Middle East that can involve many organs and tissues. The spine is the most common site of musculoskeletal involvement, but multilevel involvement is uncommon and only ten cases were reported in literature.
Conclusion: Although it is an exceptional form, multifocal brucellar spondylitis is worth to be known to avoid diagnostic mistakes.