Noncontiguous multi-tiered spinal tuberculosis associated with sternal localization: a case report.
J Med Case Rep
; 11(1): 181, 2017 Jul 05.
Article
en En
| MEDLINE
| ID: mdl-28676098
ABSTRACT
BACKGROUND:
Tuberculous spondylodiscitis is a frequent localization of tuberculosis. Multi-tiered involvement and an association with sternal localization are rare. CASE PRESENTATION We report a case of multi-tiered tuberculous spondylodiscitis with sternal localization in an immunocompetent 41-year-old Arab woman who had inflammatory bilateral sciatica L5 and S1 and a history of low back pain caused by a trauma. Radiography, computed tomography, and a vertebral biopsy were useful for diagnosis. She reacted well to anti-bacillary treatment despite the occurrence of multiple paravertebral and subcutaneous abscesses. The medullar magnetic resonance imaging control performed at 4 months, 12 months, and 1 year after the end of treatment showed a favorable evolution.CONCLUSIONS:
To avoid the delay of diagnosis, especially in our endemic context, tuberculosis must be evoked usually. This will improve the prognosis of our patients.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Esternón
/
Tuberculosis de la Columna Vertebral
/
Imagen por Resonancia Magnética
/
Discitis
/
Tomografía Computarizada por Rayos X
/
Vértebras Lumbares
/
Antibacterianos
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
J Med Case Rep
Año:
2017
Tipo del documento:
Article
País de afiliación:
Marruecos