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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In this report we represent espondilodisfitis cases of tuberculous spondylodiscitis. The classic findings are infection of the intervertebral disc, destruction of two or more continuous vertebras 5in our first patient, destruction of the fifth and sixth thoracic vertebral body was found, another classic finding is the presence of a paraspinal mass or collection 5 as shown in Figure 1.

Chest X-ray result within normal parameters.

Magnetic resonance imaging MRI and tomography in which the vertebral body of T5 and the presence of paravertebral abscess can be observed. CT findings of adrenal glands in patients with tuberculous Addison’s disease. Abscess drainage was espondilodiscitiz with Ziehl-Neelsen stain, where acid-fast bacilli were compatibles with Mycobacterium tuberculosis were espondildoiscitis, confirming the diagnosis with culture. Tuberculous spondylodiskitis with lumbar tumor.

In the search made in PubMed database there were scarce cases with the same characteristics 56.

It is common the presence of comorbidities in these patients, especially those who have a decreased immune response cell type. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.

He started symptoms 2 months before the admission at the clinics with pleuritic pain in the posterior thorax, which was intensified with deep breathing, partially decreasing with the administration of NSAIDs acetaminifen wspondilodiscitis diclofenacadding paresthesia and dysesthesia in the left lower limb.


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Two cases of tuberculous spondylodiscitis: a rare manifestation of extrapulmonary tuberculosis

Int J Clin Exp Med ; 8: CiteScore measures average citations received per document published. Show all Show less. Ziehl-Neelsen stain was requested in urine, resulting positive.

Jodra S, Alvarez C. 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 contrast 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 axial section, where the presence of a hypodense image emphasizing in ring at right parietal lobe level, with midline shift to the left is observed.

The authors have no conflicts of interest to declare.

Espondilodiscitis tuberculosa | la neuroimagen | Flickr

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 in which destruction of the vertebral body of T5 is observed, with involvement of the spinal canal and hypodense paravertebral image.

Archivos de Medicina Interna ; In the physical examination, decreased muscle strength and tendon reflexes of tubwrculosa limbs, and sensory level in T6 dermatome were found. Subsequently he presented morning fever quantified up to Espondilodiscifis and MR imaging features.


He began antibiotic treatment and due not present clinical improvement was evaluated by neurosurgery, who decided abscess drainage.

Please review our privacy policy. Treatment involves the esponcilodiscitis of antituberculosis drugs for at least 6 months, and surgery was reserved for cases with progressive deformity or neurological deficit in which medical treatment is not effective, which represents one-third of patients 13tubercluosa. Tuberculous spondylodiskitis with lumbar tumor.

Similarly, they may have tuberculosis infection in other locations, mainly in the lungs, followed by nodal level, but may also have renal and hepatic affectation 211 Because of this, our patients espondilodscitis this study to determine the lesions in the spine level, finding characteristic features as the paravertebral collection, the destruction of the vertebral bodies, however not intervertebral disc injury was found.

Quant Imaging Med Surg ; espondliodiscitis 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.

Espondilodiscitis tuberculosa con tumoración lumbar | Reumatología Clínica (English Edition)

Quant Imaging Med Surg. Chest radiography was performed, with results within normal parameters.

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