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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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 tuberculsa 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.

Abscess drainage was performed with Ziehl-Neelsen stain, where acid-fast bacilli were compatibles with Mycobacterium tuberculosis were observed, confirming the diagnosis with culture. He started symptoms 2 months before the admission at the clinics tubercculosa pleuritic espondiloriscitis in the posterior thorax, which was intensified with deep breathing, partially decreasing with the administration of NSAIDs acetaminifen and diclofenacadding paresthesia and dysesthesia in the left lower limb.

Espondilodiscitis tuberculosa | la neuroimagen | Flickr

Show all Show less. Reumatol Clin ; 8: Quant Imaging Med Surg. Tuberculous spondylodiskitis with lumbar tumor. Treatment involves the administration of antifimic drugs for a period of 12 months, being necessary only surgical treatment in a third of patients 134. In the case of our two patients, one of them had a history of chronic alcoholism. Studies of the sample were conducted, reported negative cultures, Gram stain negative, negative ink, Ziehl-Neelsen tubercu,osa was made finding scarce acid-fast bacilli compatible with Mycobacterium tuberculosis.

After the successful treatment, the patient has no hip pain or mobility limitation, no headache or hypertensive data skull. 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 tuberculsoa collection 5 as shown in Figure 1.

CT and MR imaging features. Because of this, our patients underwent this study to determine the lesions in the spine tuberculosx, finding characteristic features as the paravertebral collection, the destruction of the vertebral bodies, however not intervertebral disc injury was found.

In the MRI can be observed osteolytic lesions, disc space narrowing, loss of vertebral body height, erosions in the endplates, the presence tuberculoaa intra and extravertebral abscesses and compression of the dural sac, preferably being the imaging study in this pathology 11 Update on the surgical management of Pott’s disease. Biopsy was performed reporting chronic granulomatous inflammatory lesions with multinucleated giant cells with caseous necrosis without cellular atypia.


Diagnosis by images of vertebral tuberculosis. Was requested thoracic spine MRI, finding mediastinal tumor involving vertebral bodies T4—T5, with spinal cord compression, in T2 an isointense, paravertebral and bilateral image was observed at T2—T5 level, suggestive of abscess, as well as sepondilodiscitis and collapse of the vertebral body of T5 Figure 1.

Tomography of the skull in which the presence of rounded image with ring enhancement and presence of perilesional edema is observed. Enferm Infecc Microbiol Clin ; Patients often have a chronic course with weight loss in half the cases, the presence of fever, malaise, and night sweats is also common in a third of patients 12 The clinical presentation is associated espondilodoscitis systemic disease, as with local injury.

Locally they can present paraspinal abscess, epidural or paraspinal psoas 2 Chest Espondilodiwcitis result within normal parameters. 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 rspondilodiscitis 11 Int J Clin Exp Med ; 8: Management with Dotbal was initiated rifampin, isoniazid, pyrazinamide, ethambutol for 12 months due extrapulmonary affectation, espondilosiscitis ended without sequelae or complications involvement.

At admission, the patient was conscious, oriented, referring the presence of holocraneal headache, no data targeting. Treatment involves the use of antituberculosis drugs for at least 6 months, and surgery was reserved for cases with espondilodiscitsi deformity or neurological deficit in which medical treatment is not effective, which represents one-third of patients 134.

CT findings in splenic tuberculosis. In the search tuberculoa in PubMed database there were scarce cases with the same characteristics 56. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. Case 2 One male patient of 21 years old with a history of alcohol since 15 tubecrulosa old to the present, once a week.

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.

Chest radiography was performed, with results within normal parameters.

This could be because the disc is avascular, so that infection is observed belatedly. N Engl J Med ; CT findings of adrenal glands in patients with tuberculous Addison’s disease. It was valued by the spinal surgery department that suggested conservative management with permanent Jewett corset till control infection. Continuing navigation will be considered as acceptance of this use. A MRI sagittal T1 with gadolinium lumbosacral spine, hypointense image is observed at the level of S1—S3, suggestive of collection; B MRI sagittal T2 with gadolinium lumbosacral spine, hyperintense image is observed at the level of S1—S3, suggestive of collection which grows to the intra-spinal space; C MRI axial section T2 with gadolinium, where hyperintense image is observed at the level of right sacroiliac joint, suggestive of collection; D MRI coronal T2 with gadolinium lumbosacral spine, where hyperintense image is observed at the level of right sacroiliac joint.


Management of Tuberculous Infection of the Spine. 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.

In this report we represent two cases of tuberculous spondylodiscitis. Neurological symptoms are second in frequency, as a weakness, paresthesias and paraplegia.

CT of chest was performed, in which an image hypodense paravertebral between T2—T5 was observed, as well as a destruction of the vertebral bodies of T5 and T6 Figure 1. Received Sep 29; Accepted Nov 8.

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espkndilodiscitis 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. It has high sensitivity in detecting changes at the level of the spinal cord and the initial inflammatory changes in the vertebral bodies.

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 tuebrculosa of chest pain and also he has remained afebrile.

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