Subjacent Disease in an Operated Case of Spinal Tuberculosis: A Case Report and Literature Review.
| Autor: | Kumar V; Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, India., Mehta L; Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, India., Dhatt SS; Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, India. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of orthopaedic case reports [J Orthop Case Rep] 2023 Oct; Vol. 13 (10), pp. 16-19. |
| DOI: | 10.13107/jocr.2023.v13.i10.3918 |
| Abstrakt: | Introduction: Spinal tuberculosis (TB) recurrence in subjacent vertebral segments in a post-operative case is one of the atypical presentations of this common disease. Case Report: A 63-year-old gentleman presented with fever and bilateral lower limb weakness for 10 days. The patient was on anti-tubercular therapy for the past 18 months and had a history of surgical decompression and posterior instrumentation for D12 and L1 vertebrae spinal TB. Radiological investigations showed new-onset TB in D9 and D10 vertebral levels. Management with revision surgery was done. Conclusion: Recurrence of spinal TB in segments of vertebrae subjacent to previously operated segments in a patient on long-term anti-tubercular treatment is a rare and undescribed presentation of the common disease. High index of suspicion is required for early diagnosis and prompt management to prevent long-term morbidities. Competing Interests: Conflict of Interest: Nil (Copyright: © Indian Orthopaedic Research Group.) |
| Databáze: | MEDLINE |
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