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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Management with Dotbal rifampin, isoniazid, pyrazinamide, ethambutoltwo tablets every 12 hours began, completing intensive and supportive phase.
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. 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 – Locally they can present paraspinal abscess, epidural or paraspinal psoas 2 Treatment involves the administration of antifimic drugs for a period of 12 months, being necessary only surgical treatment in a third of patients 134.
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 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.
Support Center Support Center. Management of Tuberculous Infection of the Spine. 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.
Jodra S, Alvarez C. 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 in monitoring. It was valued by the spinal surgery department that suggested conservative management with permanent Jewett corset till control infection.
Automatic screening for tuberculosis in chest radiographs: Quant Imaging Med Surg ; 3: Footnotes Conflicts of Interest: CT findings of adrenal glands in patients with tuberculous Addison’s disease. 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.
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Magnetic resonance imaging MRI and tomography in which the vertebral body of T5 and the presence of paravertebral abscess can be observed. Biopsy was performed reporting chronic granulomatous inflammatory lesions with multinucleated giant cells with caseous necrosis without cellular atypia.
Tuberculous spondylodiskitis with lumbar tumor. N Engl J Med ; He started symptoms 2 months before the admission at the clinics with pleuritic pain espondilodisccitis the posterior thorax, which was intensified with deep breathing, partially decreasing with the administration of NSAIDs acetaminifen and diclofenacadding tuberculoxa and dysesthesia in the left lower limb.
Treatment involves the use of antituberculosis drugs for at least 6 months, and surgery was reserved for cases with progressive deformity or neurological fspondilodiscitis in which medical treatment is not effective, which represents one-third of patients 134.
Espondilodiscitis tuberculosa con tumoración lumbar | Reumatología Clínica (English Edition)
Diagnosis by images of vertebral tuberculosis. Similarly, they may have tuberculosis infection in other locations, mainly in the lungs, followed by nodal level, but may also have renal and hepatic tubwrculosa 211 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. Increased risk has been observed in patients with diabetes mellitus, HIV infection, kidney or liver failure, obstructive pulmonary disease, chronic corticosteroid use, alcohol consumption and use of immunosuppressive transplanted 2 In this report we represent two cases of tuberculous spondylodiscitis.
Tuberculous spondylodiskitis Pott’s disease: Hospital Regional de Alta Especialidad Dr. CT of chest was performed, in which an image hypodense paravertebral between T2—T5 was observed, as well as a destruction of the vertebral bodies of T5 and T6 Figure tuberxulosa.
Based control PCR for Mycobacterium tuberculosis, gave a negative result.
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Reumatol Clin ; 8: 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 Experience in a general hospital.
Studies of the sample were espodnilodiscitis, reported negative cultures, Gram stain negative, negative ink, Ziehl-Neelsen stain was made finding scarce acid-fast bacilli compatible with Mycobacterium tuberculosis.
It has high sensitivity in detecting changes at the level of the spinal cord and the initial inflammatory changes in the vertebral bodies. J Belge Radiol ; Enferm Infecc Microbiol Clin ; Subscribe to our Newsletter. Author information Article notes Copyright and License information Disclaimer.
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 tubwrculosa hospitalization.