Espondilodiscitis tuberculosa con tumoración lumbar. Tuberculous spondylodiskitis with lumbar tumor. María Cristina López-Sáncheza, Gabriela Calvo Arrojoa. Download PDF. 1 / 2 Pages. Previous article. Go back to website. Next article. Download Citation on ResearchGate | On Feb 1, , Diego Piombino and others published Espondilodiscitis tuberculosa }.
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Experience in a general hospital. It is essential to confirm the presence of the agent, for this can be used intradermal reaction Mantoux PPDZiehl-Neelsen stain, PCR genome of the mycobacterium and quantification of interferon gamma released 11 After the successful treatment, the patient has no hip pain or mobility limitation, no headache or hypertensive data skull. Imaging studies are important for diseases detection, mainly the computed axial tomography CT and magnetic resonance imaging MRI which since have made it possible to detect the disease at a predestructive phase and at rare sites of presentation 12.
Because of this, our patients underwent this study to determine the lesions in the spine level, finding characteristic features as the paravertebral collection, the destruction of the vertebral bodies, however not intervertebral disc injury was found.
N Engl J Med ; Reumatol Clin ; 8: Imaging studies are of great importance for the diagnosis, such as plain radiographs in which can be observe the processes of the vertebrae and the loss of its anatomy, the first radiographic sign is osteoporosis of the body affected, followed by osteolysis which can progress to spondylodiscitis 1113 ; the axial CT scan allows us to observe the exact extent of bone lesion, lesions within the vertebral body and the presence of invasion of the spinal canal, can be used for diagnosis and monitoring of disease 11 – This could be because the disc is avascular, so that infection is observed belatedly.
Biopsy was performed reporting chronic granulomatous inflammatory lesions with multinucleated giant cells with caseous necrosis without cellular atypia. Showed loss of 15 kg of weight in 6 weeks, then subsequently holocraneal headache not pulsatile, intermittent, which partially decreased due the use of NSAIDs diclofenacadded to the condition, tonic-clonic movements in the left side of the body, due this he was taken to hospitalization.
Tomography of the skull in which the presence of rounded image with ring enhancement and presence of perilesional edema is observed.
It is known that atypical presentations are characterized by the absence of lesions to the intervertebral disc 5so we could say that our cases are atypical presentation.
At tuberdulosa, the patient was conscious, oriented, referring the presence of holocraneal headache, no data targeting. Chest radiography was performed, with results within normal parameters.
Automatic screening for tuberculosis in chest radiographs: CiteScore measures average citations received per document published. Subscribe to our Newsletter. It has high sensitivity in detecting changes at the level of the spinal cord and the initial inflammatory changes in the vertebral bodies.
Open in a separate window. Published studies are primarily clinical and epidemiological research but also basic. Orthop Traumatol Surg Res ; Continuing navigation will be considered as acceptance of this use.
Management with Dotbal was initiated rifampin, isoniazid, pyrazinamide, ethambutol for 12 months due extrapulmonary affectation, which ended without sequelae or complications involvement. He started symptoms 2 months before the admission at the clinics with pleuritic pain in the posterior thorax, which was intensified with deep breathing, partially decreasing with the administration of NSAIDs acetaminifen and diclofenacadding paresthesia and dysesthesia in the left lower limb.
Neurological symptoms are second in frequency, as a weakness, paresthesias and paraplegia. CT and MR imaging features. Support Center Support Center. You can change the settings or obtain more information by clicking here. Pott’s disease of the thoracic spine. He began his current condition 3 months before admission with right hip pain of moderate intensity, with limitation of external rotation, which decreased the administration of analgesics.
CT findings of adrenal glands in patients with tuberculous Addison’s disease. TAC skull was done, reporting right parasagittal lesion with significant perilesional edema and reinforcement ring, subfalcial hernia and displacement of the midline Figure 2.
It is the most common granulomatous disease of the spine, which is characterized by being chronic and slowly progressive, to its confirmation Mycobacterium tuberculosis isolation or identification of granulomas in a sample obtained from the injured vertebrae is needed 23.
Espondilodiscitis tuberculosa | la neuroimagen | Flickr
In the MRI can be observed osteolytic lesions, disc space narrowing, loss of vertebral body height, erosions in the endplates, the presence of intra and extravertebral abscesses and compression of the dural sac, preferably being the imaging study in this pathology 11 Received Sep 29; Accepted Nov 8. Abscess espondiloiscitis was performed with Ziehl-Neelsen stain, where acid-fast bacilli were compatibles with Mycobacterium tuberculosis were observed, confirming the diagnosis with culture.
He began antibiotic treatment and due not present clinical improvement was evaluated by neurosurgery, who decided abscess drainage. Atypical, multilevel and noncontiguous tuberculous spondylitis that affected the vertebrae of thoracic, lumbar and sacrum: Case 2 One male patient of 21 years old with a history of alcohol since 15 years old to the present, once a week.
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Enferm Infecc Microbiol Clin ; Chest X-ray result within normal parameters. Tuberculous spondylodiskitis with lumbar tumor. Treatment involves the use of antituberculosis drugs for at least 6 months, and espondilodisciis was reserved for cases with progressive deformity or neurological deficit in which medical treatment is not effective, which represents one-third of patients 134.
Quant Imaging Med Surg. One male patient of 21 years old with a history of alcohol since 15 years old to the present, once a week.