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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Locally they can present paraspinal abscess, epidural or paraspinal psoas 2 Was requested thoracic spine MRI, finding mediastinal tumor involving vertebral bodies T4—T5, with spinal cord compression, in T2 an isointense, paravertebral and bilateral image was observed at T2—T5 level, suggestive of abscess, as well as fracture and collapse of the vertebral body of T5 Figure 1. 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.
Treatment involves the administration of antifimic drugs for a period of 12 months, being necessary only surgical treatment in a third of patients 134.
In the MRI can tubercuulosa 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 espondiloriscitis Open in a separate window.
Microbiological and immunological diagnosis of tuberculous spondylodiscitis. Management with Dotbal rifampin, isoniazid, pyrazinamide, ethambutoltwo tablets every 12 hours began, completing intensive and supportive phase.
After the successful treatment, the patient has no hip pain or mobility limitation, no headache or hypertensive data skull. Subsequently he presented morning fever quantified up to You can change the settings or obtain more information by clicking here. The treatment was successful, currently he presents results of the polymerase chain reaction PCR for Mycobacterium tuberculosis negative and sensory and motor recovery of the limbs, normal tendon reflexes, he performs physical effort without complications, without the presence of chest pain and also he has remained afebrile.
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. CiteScore measures average citations received per document published.
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In the search made in PubMed database there espondllodiscitis scarce cases with the same characteristics 56. Magnetic resonance imaging MRI and tomography in which the vertebral body of T5 and the presence of paravertebral abscess can be observed. 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.
It has high sensitivity in detecting changes at the level of the spinal cord and the initial inflammatory changes in the vertebral bodies. Reumatol Clin ; 8: Tuberculous spondylodiskitis with lumbar tumor. In this report we represent two cases of tuberculous spondylodiscitis. J Belge Radiol ; Our patients had thberculosa pulmonary tuberculosis, however one of them presented brain abscess secondary to Mycobacterium tuberculosis, which is rare and this combination has not been reported in the literature.
Espondilodiscitis tuberculosa con tumoración lumbar
Int J Clin Exp Med ; 8: Biopsy was performed reporting chronic granulomatous inflammatory lesions with multinucleated giant cells with caseous necrosis without cellular atypia. CT findings in splenic tuberculosis. Asian Spine J ; The authors have no conflicts of interest to declare. Update on the surgical management of Pott’s disease.
Management with Dotbal was initiated rifampin, isoniazid, pyrazinamide, ethambutol for 12 months due extrapulmonary affectation, which ended without sequelae or complications involvement.
N Engl J Med ; It was valued by the spinal surgery department that suggested conservative management with permanent Jewett corset till control infection. The MRI is the study of choice for the accurate diagnosis of lesions caused by Mycobacterium tuberculosis at the spine level, as was reported in the others similar articles 56likewise can be used guberculosa monitoring. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.
CT and MR imaging features. The classic findings are infection of the intervertebral disc, destruction of two or more continuous vertebras 5in our first patient, destruction of the fifth and esponxilodiscitis thoracic vertebral body was found, another classic finding is the presence of a paraspinal mass or collection 5 as shown in Figure 1. Jodra S, Alvarez C.
Ziehl-Neelsen stain was made finding scarce acid-fast bacilli compatible with Mycobacterium tuberculosis. In the case of our two patients, one of them had a history of chronic alcoholism.
Two cases of tuberculous spondylodiscitis: a rare manifestation of extrapulmonary tuberculosis
Neurological symptoms are second in frequency, as a weakness, paresthesias and paraplegia. Tomography of the skull in which the presence of rounded image with ring enhancement and presence of perilesional edema is observed.
Images in clinical medicine. Si continua navegando, consideramos que acepta su uso. Similarly, they may have tuberculosis infection in other locations, mainly in the lungs, followed by nodal level, but may espkndilodiscitis have renal and hepatic affectation 211 Support Center Support Center.
Quant Imaging Med Surg ; 3: A MRI coronal T2 of backbone, bilateral paravertebral isointense image is observed rspondilodiscitis T2—T5; B MRI sagittal T2 of backbone, isointense image between T2—T5 is observed with fracture and collapse of the vertebral body of Tubetculosa C axial tomography of the chest with bone window in which a destruction of the vertebral body of the T6 and hypodense paravertebral image is observed; D axial tjberculosa of the chest with bone window in which destruction of the vertebral body of T5 is observed, with involvement of the spinal canal and hypodense paravertebral image.