This study aims at presenting a case of symmetrical and bilateral thinning observed in a skull belonging to the skeleton of a mature woman from the medieval cemetery of Caravate (north Italy). Macroscopical, radiological, and histological analyses were performed to investigate the condition. The analyses allowed us to detect a progressive loss of both the outer table and the diploe, and the sparing of the inner table. As a controversial condition in the clinical and paleopathological literature, this case poses some difficulties in discussing the differential diagnosis. However, the sex determination, estimation of the age-at-death and different characteristics observed at the level of the postcranial bones, in particular the fractures recorded on different vertebral bodies, allowed us to correlate the biparietal thinning found in this subject to ageing and osteoporosis.
This paper presents a probable case of subligamentous tuberculous spondylitis (STBS), a rare form of extrapulmonary tuberculosis, diagnosed in the skeleton of a middle‐aged male discovered in the ossuary of the Franciscan crypt of the St. Anthony and St. Eusebius church, which lies in north‐western Italy. The skeleton can be dated back between the 17th and 19th centuries. This rare type of tuberculosis was identified in the thoracic and lumbar spine, with no further evidences at the level of the cranial and other postcranial bones. The concomitance of osteoclastic and osteoblastic activities, scalloping, reactive bone formation area, anterior, and lateral ligaments ossification was observed and allowed us to perform a morphological STBS diagnosis. The subject presented here contributes to the literature related to the prevalence of tuberculosis in Italy during the last centuries. Moreover, we also focus our attention on some osteopathological criteria that can prove useful for the diagnosis of extrapulmonary tuberculosis.
We discuss the probable presence of tuberculosis in non-adults of a medieval rural community in northern Italy with a biocultural perspective. Before birth, mother and child have a closely interconnected relationship, as suggested by the role of microchimerism on maternal health. To better understand maternal–child health and related stress factors, paleopathology has investigated the potential of this relationship in recent years. Diseases with environmental development factors such as infections depend on and are strongly affected by maternal control variables such as, for example, breastfeeding and the growth environment. This article presents ISZ2, the second possible case of childhood tuberculosis identified in northeastern Italy through recent paleopathological criteria. The subject is of primary importance as it not only represents a direct testimony of this infectious disease otherwise known only from historical sources, but also increases our knowledge on the state of health of infants in this area, which to date are scarcely analyzed.
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