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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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. It is common the presence of comorbidities in these patients, especially those who have a decreased immune response cell type. 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.
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. Open in a separate window. A MRI sagittal T1 with gadolinium lumbosacral spine, hypointense image is observed at the level of S1—S3, suggestive of collection; B MRI sagittal T2 with gadolinium lumbosacral spine, hyperintense image is observed at the level of S1—S3, suggestive of collection which grows to the intra-spinal space; C MRI axial section T2 with gadolinium, where hyperintense image is observed at the level of right sacroiliac joint, suggestive of collection; D MRI coronal T2 with gadolinium lumbosacral spine, where hyperintense image is observed at the level of right sacroiliac joint.
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.
Hospital Regional de Alta Especialidad Dr. A Skull tomography in axial section, in which hypodense image is observed with jagged edges at right parietal lobe level; B skull tomography with contrast in coronal section, in which the presence of a hypodense image emphasizing in ring at right parietal lobe, with subfalcial hernia and compression of right lateral ventricle is observed; C skull tomography with contrast in sagittal section, where the presence of a hypodense image emphasizing in ring at right parietal lobe, surrounded by a hypodense image, suggestive edema is observed; D skull tomography with contrast in axial section, where the presence of a hypodense image emphasizing in ring at right parietal lobe level, with midline shift to the left is observed.
Patients often have a chronic course with weight loss in half the cases, the presence of fever, malaise, and night sweats is also common in a third of patients 12 Diagnosis by images of vertebral tuberculosis. Chest X-ray result within normal parameters. 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.
Espondilodiscitis tuberculosa con tumoración lumbar
Are you a health professional able to prescribe or dispense drugs? The diagnosis is usually delayed from 2 months to 2 years, this due to the insidiousness of symptoms as the difficulty of recognizing the spinal injury.
Microbiological and immunological diagnosis of tuberculous spondylodiscitis. Author information Article notes Copyright and License information Disclaimer. Based control PCR for Mycobacterium tuberculosis, gave a negative result. Magnetic resonance imaging MRI of lumbosacral column where a collection is observed at S1—S3 level and in right espondilodiecitis joint. This could be because the disc is avascular, so that infection is observed belatedly.
Two cases of tuberculous spondylodiscitis: a rare manifestation of extrapulmonary tuberculosis
Case 2 One male patient of 21 tubfrculosa old with a history of alcohol since 15 years old to the present, once a week. Int J Clin Exp Med ; 8: Abscess drainage was performed with Ziehl-Neelsen stain, where acid-fast bacilli were compatibles with Mycobacterium tuberculosis were observed, confirming the diagnosis with culture.
Archivos de Medicina Interna ; SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. Atypical, multilevel and noncontiguous tuberculous spondylitis that affected the vertebrae of thoracic, lumbar and sacrum: SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
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 – Treatment involves the use of antituberculosis drugs for at least 6 months, and surgery was reserved for cases tuberculoaa progressive deformity or neurological deficit in which medical treatment is not effective, which represents one-third of patients 134.
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.
In the search made in PubMed database there were scarce cases with the same characteristics 56. N Engl J Med ; To improve our services and products, we use “cookies” own espondipodiscitis third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.
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espondiloiscitis Similarly, they may have tuberculosis infection in other locations, mainly in the lungs, followed by nodal level, but may also have renal and hepatic affectation 211 J Belge Radiol ; Management of Tuberculous Infection of the Spine. Jodra S, Alvarez C. Quant Imaging Med Surg. After the successful treatment, the patient has no hip pain or mobility limitation, no headache or hypertensive data skull.
The authors have no conflicts of interest to declare. Quant Imaging Med Surg ; 3: Since the advent of HIV, have emerged opportunistic diseases, including tuberculosis, nevertheless extrapulmonary manifestations, such as tuberculous spondylodiscitis, have increased their frequency 7 – 9.
Update on the surgical management of Pott’s disease.