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 }.
|Published (Last):||2 May 2013|
|PDF File Size:||3.1 Mb|
|ePub File Size:||2.37 Mb|
|Price:||Free* [*Free Regsitration Required]|
Hospital Regional de Alta Especialidad Dr. Ziehl-Neelsen stain was requested in urine, resulting positive. Studies of the sample were conducted, reported negative cultures, Gram stain negative, negative ink, Ziehl-Neelsen stain was made finding scarce acid-fast bacilli compatible with Mycobacterium tuberculosis.
It was valued by the spinal surgery department that suggested conservative management with permanent Jewett corset till control infection. 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. Microbiological and immunological diagnosis of tuberculous spondylodiscitis.
Magnetic resonance imaging MRI and tomography in which the vertebral body of T5 and the presence of paravertebral abscess can be observed. Quant Imaging Med Surg ; 3: You can change the settings or obtain more information by clicking here. This could be because the disc is avascular, so that infection is observed belatedly. Published studies are primarily clinical and epidemiological research but also basic. 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 – It has high sensitivity in detecting changes at the level of the spinal cord and the initial inflammatory changes in the vertebral bodies.
Archivos de Medicina Interna ; Footnotes Conflicts of Interest: TAC skull was done, reporting right parasagittal lesion with significant perilesional edema and reinforcement ring, subfalcial hernia and displacement of the midline Figure 2. Open in a separate window.
Pott’s disease of the thoracic spine. Continuing navigation will be considered as acceptance of this use.
SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Management of Tuberculous Infection of the Spine. 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 tuberculos and quantification of interferon gamma released 11 Received Sep 29; Accepted Nov 8.
Images in clinical medicine. He began antibiotic treatment and due not present clinical improvement was evaluated by neurosurgery, who decided espondilodisciyis drainage.
Espondilodiscitis tuberculosa con tumoración lumbar
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 espkndilodiscitis 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 tubeculosa section, where the presence of a hypodense image emphasizing in ring at right parietal lobe level, tuberculoas midline shift to the left is observed.
Update on the surgical management of Pott’s disease. SRJ is a prestige metric based on the idea that not all citations are the same. Support Tuberrculosa Support Center. Show all Show less. Magnetic resonance imaging MRI of lumbosacral column where a collection is observed at S1—S3 level and in right lumbosacral joint. Chest X-ray result within normal parameters.
Management with Dotbal was initiated rifampin, isoniazid, tubervulosa, ethambutol for 12 months due extrapulmonary affectation, which ended without sequelae or complications involvement.
The clinical presentation is associated with systemic disease, as with local injury. Subsequently he presented morning fever quantified up to 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.
Espondilodiscitis tuberculosa | la neuroimagen | Flickr
One male patient of 21 years old with a history of alcohol since 15 years old to the present, once a week. 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.
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 Tuberculous spondylodiskitis with lumbar tumor.
SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. Subscribe to our Newsletter. A MRI coronal T2 of backbone, bilateral paravertebral isointense image is observed between T2—T5; B MRI sagittal T2 of backbone, isointense image between T2—T5 is observed with fracture and collapse of the vertebral body of T5; 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 tomography of the chest with bone window esopndilodiscitis which destruction espojdilodiscitis the vertebral body of T5 is observed, with involvement of the spinal canal and hypodense paravertebral image.
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 tyberculosa in a sample obtained from the injured vertebrae is needed 23.
Our patients had no 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.
In the physical examination, decreased muscle strength and tendon reflexes of lower limbs, and sensory level in T6 dermatome were found. Abscess drainage was performed with Ziehl-Neelsen stain, espondilodiscitiis acid-fast bacilli were compatibles with Mycobacterium tuberculosis were observed, confirming the diagnosis with culture.
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. 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.
Author information Article notes Copyright and License information Disclaimer.
Experience in a general hospital.