Neck Pain in a Young Girl: A Pott's Disease Case Study (original) (raw)
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A Case Report on Pott's Spine (Spinal Tuberculosis)
https://www.ijrrjournal.com/IJRR\_Vol.6\_Issue.11\_Nov2019/Abstract\_IJRR007.html, 2019
A middle-aged woman presented to the hospital with a complaint of worsening of backache since 2days non radiating pain, unable to walk or sit. Physicians included Pott's disease in the working diagnosis when patients present with severe back pain and evidence of past history tuberculosis. A radiological examination confirmed the diagnosis of Pott's spine. Commonly AKT 4 was restarted for the first line management of spinal tuberculosis.
Cervical Pott's Spine: A Case Series
Bengal Physician Journal, 2022
Spinal tuberculosis is the most common form of skeletal tuberculosis, and it can be destructive and devastating to the patient. Most of the spinal tuberculosis cases involve thoracic spine, and cervical involvement is unusual and rare. This case series is about different presentation and treatment approaches of cervical spine tuberculosis in four healthy young girls without any comorbidities. Among them, three girls presented with severe neurological complications. All of them had a history of severe neck pain and stiffness. None had constitutional symptoms or tuberculosis exposure. Diagnosis was made with the help of magnetic resonance imaging (MRI) spine and histopathological and microscopy of biopsied skeletal segments. The three girls with neurological complications were treated with surgical debridement and cervical spine stabilization surgery along with antitubercular treatment (ATT). All the three girls remarkably improved neurologically with a combined approach. The one without significant neurological deficits was started on ATT alone and advised to follow up with serial neuroimaging.
Case report. Cervical spinal tuberculosis
Folia neuropathologica / Association of Polish Neuropathologists and Medical Research Centre, Polish Academy of Sciences, 2010
Cervical spinal tuberculosis is a rare variant of extra-pulmonary tuberculosis. We present the case of Vietnamese woman, aged 48, who was admitted to the Department of Neurosurgery because of a cervical spine (C7) compression fracture. Several months earlier, the patient complained of neck pain and numbness of the hands. On physical examination, the woman was subfebrile and complained of pain over the cervical spinal area. Neurological examination revealed no focal motor weakness. The roentgenograms of chest, pelvis and cranium were without pathological changes. Abdominal ultrasonography was normal. Radioisotope bone-scanning showed abnormal accumulation of isotope in the lower cervical region, thoracic vertebra, as well as in the articulations of knees and shoulders and in the left tibial bone. An MRI scan revealed compression fracture of the C7 vertebral body with infiltration of paraspinal tissues at the vertebral column with indentation of osseous masses into the spinal canal. T...
Clinical Microbiology and Infection, 2015
We aimed to describe clinical, laboratory, diagnostic and therapeutic features of spinal tuberculosis (ST), also known as Pott disease. A total of 314 patients with ST from 35 centres in Turkey, Egypt, Albania and Greece were included. Median duration from initial symptoms to the time of diagnosis was 78 days. The most common complications presented before diagnosis were abscesses (69%), neurologic deficits (40%), spinal instability (21%) and spinal deformity (16%). Lumbar (56%), thoracic (49%) and thoracolumbar (13%) vertebrae were the most commonly involved sites of infection. Although 51% of the patients had multiple levels of vertebral involvement, 8% had noncontiguous involvement of multiple vertebral bodies. The causative agent was identified in 41% of cases. Histopathologic examination was performed in 200 patients (64%), and 74% were consistent with tuberculosis. Medical treatment alone was implemented in 103 patients (33%), while 211 patients (67%) underwent diagnostic and/or therapeutic surgical intervention. Ten percent of the patients required more than one
Bangladesh Journal of Medicine, 2016
Tuberculosis is very common in our country. It can involve many organs and have broad spectrum of image presentation. It may resemble malignant diseases, especially in the elderly and thus confuse the judgement of the clinician. We report a case of a 58 year old gentleman presenting with chronic cough, low grade fever, weight loss for 16 months; features of progressive marrow failure for 8 months and severe low back pain without any neurological features for 2 months. The CT scan of spine revealed lytic lesions of vertebrae sparing the intervertebral discs, thus resembling metastatic lesions of bone. We approached this case as malignant disease initially, but found it to be a disseminated tuberculosis infection involving lungs, bone marrow and spine after a series of investigations. Though disseminated TB is not uncommon in our country, the purpose of presenting this case is to give emphasis that, clinicians should consider Pott's disease (spinal tuberculosis) in the differential diagnosis of patients with back pain and destructive vertebral lesions. Proper diagnosis and anti-tuberculous treatment with or without surgery will result in cure of the patient.
Journal of Pharmaceutical Research International
Introduction: Extra spinal infection causes Pott's illness, which is a spine infection. This condition is extremely rare. It is also called as tuberculosis spondylitis. Due to haematogenous spread over sites, it often involves the lungs and multiple vertebrae. It causes a kind of tuberculous arthritis of the invertebral disc space. The vertebral body's front part, near to the plate underneath the chondral i.e. subchondral plate, is the most prevalent location of involvement in the lower thoracic vertebrae. If anyone vertebra gets affected the disc is normal and if both it cannot receives nutrients, and collapses and spinal damage that results in kypotic spine deformity. 45 years old male patient admitted to AVBRH with the chief complaints of weakness of bilateral lower limb since 1 month, back pain, loss of weight, and loss of appetite. Clinical Findings: Weakness of bilateral lower limb since 1 month, back pain, loss of weight, loss of appetite. Diagnostic Evaluation: Gener...
Cureus
Any organ system is prone to extrapulmonary tuberculosis (EPTB) development, including the spine. Spinal TB is a rare involvement, although considered one of the most dangerous forms of skeletal TB (STB). A 31-year-old man, who is a healthcare worker, presented to the outpatient Orthopedic Spine clinic at King Abdulaziz Medical City-Ministry of National Guard Health Affairs (KAMC-MNGHA) Jeddah, Saudi Arabia, with a complaint of axial neck and upper back pain whose condition deteriorated quickly, necessitating urgent admission for surgical treatment in the form of cervical spine decompression and fusion, in addition to the anti-tuberculosis drug (ATD) scheme. Cervical TB is a rare spinal disease that supposedly has a slow, insidious progression. The main presenting symptoms of which are axial and/or radicular pain, with a possible neurological deficit(s). In this particular case, the rapid progression of the disease necessitated rapid action. In spite of what is known about spine TB and its slow progression, the case presented here was beyond our expectations. Treatment planning and urgency should not rely on the known natural history of the disease but rather be tailored to each case individually. This delineates the importance of reporting the quick, unexpected deterioration of our patient's condition.
Clinical Microbiology and Infection, 2015
We aimed to describe clinical, laboratory, diagnostic and therapeutic features of spinal tuberculosis/Pott's Disease (ST/PD). A total of 314 patients with TS/PD from 35 centers in Turkey, Egypt, Albania and Greece were included. Median duration from initial symptoms to the time of diagnosis was 78 days. The most common complications presented before diagnosis were abscesses (69%), neurologic deficits (40%), spinal instability (21%), and spinal deformity (16%). Lumbar (56%), thoracic (49%), thoracolumbar (13%) vertebrae were the most commonly involved sites of infection. While 51% of the patients had multiple levels of vertebral involvement, 8% had noncontiguous involvement of multiple vertebral bodies. The causative agent was identified in 41% of cases. Histopathological examination was performed in 200 (64%) patients, 74% were consistent with tuberculosis. Medical treatment alone was implemented in 103 (33%) patients, while 211 (67%) patients underwent diagnostic +/-therapeutic surgical intervention. Ten percent of the patients required more than one surgical intervention. Mortality occurred in 7 (2%) patients, meanwhile 77 (25%) cases developed sequelae. The distribution of the post-treatment sequelae were; 11% kyphosis, 6% Gibbus deformity, 5% scoliosis, 5% paraparesia, 5% paraplegia, 4% loss of sensation. Advanced age, presence of neurologic deficit and spinal deformity were the predictors of unfavorable outcome.
Cervical Spine Tuberculosis: A Case Report
Journal of Pharmacy and Pharmacology 4 (2016) 375-377, 2016
Bone localization of tuberculosis mainly affects the thoraco-lumbar spine. The cervical spine is rare. Its diagnosis is often late which exposes to great instability and potentially serious complications. We reported the case of a 10-year old boy with no medical history, showed torticollis and high temperature without neurological complication. In the physical examination, he had torticollis and pain in the third, fourth and fifth cervical vertebra. When biopsy was performed, we find an inter apophysis (between C3 and C4) collection. The histological examination confirmed the diagnosis of apophysis tuberculosis. The management based on tuberculosis chemotherapy and immobilization started as soon as possible.