1921
Volume 90, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

A 4-year-old Cambodian male presented to the emergency room with 2 weeks of gradually increasing leg weakness until he could no longer stand. He was also reported to have a deformity on his back, intermittent fevers and cough. His physical exam was notable for a 2 cm × 1 cm bony protrusion at his T4 vertebrae, and 2/5 strength and positive Babinski reflexes in his lower extremities. A chest x-ray showed a 3.2 cm × 2.9 cm mass in the middle mediastinum extending to the posterior mediastinum. A purified protein derivative test was positive. A computed tomography scan showed findings consistent with pulmonary tuberculosis and a paravertebral mass with amorphous calcifications, which involved destruction of the T4-T5 vertebrae and evidence of cord compression. These findings were all consistent with tuberculous spondylitis (Pott's disease).

[open-access] This is an Open Access article distributed under the terms of the American Society of Tropical Medicine and Hygiene's Re-use License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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2014-03-05
2017-09-25
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References

  1. World Health Organization, 2012. Global Tuberculosis Report 2012. Available at: http://www.who.int/tb/publications/global_report/en/. Accessed May 1, 2013.
  2. Cheung WY, Luk KD, , 2012. Clinical and radiological outcomes after conservative treatment of TB spondylitis: is the 15 years' follow-up in the MRC study long enough? Eur Spine J 22: 594602.[Crossref]
  3. De Backer AI, Mortele KJ, Vanschoubroeck IJ, Deeren D, Vanhoenacker FM, De Keulenaer BL, Bomans P, Kockx M, , 2005. Tuberculosis of the spine: CT and MR imaging features. JBR-BTR 88: 9297.
  4. Nhu NT, Ha DT, Anh ND, Thu do DA, Duong TN, Quang ND, Lan NT, Quyet TV, Tuyen NT, Ha VT, Giang do C, Dung NH, Wolbers M, Farrar J, Caws M, , 2013. Evaluation of Xpert MTB/RIF and MODS Assay for the Diagnosis of Pediatric Tuberculosis. Available at: http://www.biomedcentral.com/1471-2334/13/31. Accessed July 11, 2013.
  5. Chandra SP, Singh A, Goyal N, Laythalling RK, Singh M, Kale SS, Sharma MS, Suri A, Singh P, Garg A, Sarkar C, Sharma BS, Mahapatra AK, , 2013. Analysis of Changing Paradigms of Management in 179 Patients with Spinal Tuberculosis over a 12-Year Period and Proposal of a New Management Algorithm. Available at: http://dx.doi.org/10.1016/j.wneu.2012.12.019. Accessed May 1, 2013.
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  • Received : 26 Jun 2013
  • Accepted : 15 Jul 2013

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