Two Children With Spinal Tuberculosis Associated With Psoas Abscess
| Autor: | Halil Şengül, Gulcan Colbay, Murat Elevli, Mahmut Civilibal, Nilgün Selçuk Duru, Yalciner Erdogan |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
History of tuberculosis
medicine.medical_specialty Tuberculosis biology business.industry Kyphosis biology.organism_classification medicine.disease Pott disease Vertebra Surgery Mycobacterium tuberculosis Infectious Diseases medicine.anatomical_structure Pediatrics Perinatology and Child Health medicine Vertebral osteomyelitis Abscess business |
| Zdroj: | Çocuk Enfeksiyon Dergisi/Journal of Pediatric Infection. 10:110-113 |
| ISSN: | 1308-5271 1307-1068 |
| DOI: | 10.5152/ced.2010.16 |
| Popis: | Pott disease is a well-known condition in developing countries causing multiple spinal deformities in children. The disease may be difficult to diagnose clinically because of its rarity, insidious onset and nonspecific clinical presentation. We report two pediatric cases of spinal tuberculosis. One was a 3-year-old girl who presented with a flank mass. Another, an 11-year-old boy, was admitted with thoracolumbar back pain and kyphosis. Magnetic resonance imaging (MRI) revealed a psoas abscess almost completely replacing the left psoas muscle in both patients. Computed tomography-guided needle biopsy of the vertebra and an aspiration of the psoas abscess, and other diagnostic testing for Mycobacterium tuberculosis were performed. Microbiology or histopathology of infected material confirmed the diagnosis of tuberculosis. Both patients underwent vertebral decompression and internal fixation. In conclusion, the diagnosis of spinal tuberculosis should be considered in patients with vertebral osteomyelitis, psoas abscess, and appropriate risk factors, such as a history of tuberculosis exposure. (Cocuk Enf Derg 2010; 4: 110-3) |
| Databáze: | OpenAIRE |
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