Pott’s disease mimicking metastasis
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Anand Verma · Lalit Maini · Virender Kumar Gautam ·Vedpal Yadav · Yashwanth Kumar ·Gurvinder Singh Kainth
- چاپ و سال / کشور: 2010
Description
Case report of one patient with tuberculosis of both the posterior and anterior elements of the spine presenting with severe back pain and upper motor neuron type of weakness in both the lower limbs are described who was initially diagnosed as a case of dorsal spine metastasis with unknown primary. This patient underwent extensive radiological and biochemical survey to Wnd out the primary neoplasm but in vain. CT-guided biopsy was done. Biopsy proved the diagnosis of tuberculosis. Proper diagnosis of spinal tuberculosis was made. Patient started on standard anti-tubercular regimen. At 3 months follow-up, patient had no neurological deWcit with marked reduction in back pain. Thus, in developing countries where tuberculosis is an endemic disease, tuberculosis must be kept as a diVerential diagnosis in all cases of extradural compressive myelopathy.
Eur J Orthop Surg Traumatol (2011) 21:285–287 DOI 10.1007/s00590-010-0698-1 Received: 24 May 2010 / Accepted: 11 September 2010 / Published online: 30 September 2010