A Rare Form of Pott’s Disease With Multifaceted Pathological Complications

Amidon, Ryan F; Ordookhanian, Christ; Vartanian, Talia; Kaloostian, Paul E.

doi:10.7759/cureus.8855

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…There was no significant difference in the outcome of a patient who presented late with neurological deficits as compared to those who presented early. 21 Spinal cord intramedullary changes in presentation affect the outcome of symptoms. Banaszek et al, dis studied patients with intramedullary signal changes and the outcome of surgery.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Neurological Outcome in Spinal Tuberculosis Patients Presenting with Severe Neurological Deficits

Waqas Noor Chughtai,

Muhammad Adeel Razzaque,

Muhammad Shafiq

et al. 2023

Pak J Neurol Surg

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Objective: To determine the postoperative neurological outcome in spinal tuberculosis patients presenting with severe neurological deficits. Materials and Methods: 57 patients of 22 to 65 years of spinal tuberculosis were included in this study from January 2018 to March 2023. Data was collected from the hospital records of the patients who were admitted and operated on for tuberculosis of the spine. All regions of the spine were taken for study. ASIA scoring was done and patients were labeled from ASIA scores A to E. All patients were operated and postoperative ASIA scoring was also done on follow-up visits. An Independent sample t-test was used to assess the difference in the mean of these variables. Results: The mean age was 44.45 ± 8.54 years. Males were 39 and females 18. Preoperatively 27 patients had ASIA B, 28 patients had ASIA C and 02 patients had ASIA D score. All these patients improved postoperatively. The mean preoperative ASIA Score was 2.03 ± 2.4 and the mean postoperative ASIA score was 4.1 ± 1.3 withp-value of 0.02. Patients having old age, who present late and with poor grades in neurology had worse outcomes postoperatively. Conclusion: Patients with spinal tuberculosis presenting even with severe neurological deficits had significant improvement in neurology postoperatively. Keywords: Spinal tuberculosis (TB), American Spinal Injury Impairment Score (ASIA), Mycobacterium Tuberculosis, Potts disease, Trans-pedicular decompression and fusion, Laminectomy, Magnetic resonance imaging (MRI).

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Section: Discussionmentioning

confidence: 99%

Postoperative Neurological Outcome in Spinal Tuberculosis Patients Presenting with Severe Neurological Deficits

Waqas Noor Chughtai,

Muhammad Adeel Razzaque,

Muhammad Shafiq

et al. 2023

Pak J Neurol Surg

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“…Several case reports have documented Pott's disease in patients where other diagnoses were initially pursued [12][13][14][15]. The majority of these patients had significant risk factors for Mtb infection including being immunocompromised and emigration from an endemic area.…”

Section: Discussionmentioning

confidence: 99%

A Case of Posttraumatic Pott’s Disease

Risos¹,

Duggal²,

Kamath³

et al. 2022

Cureus

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Tuberculosis infection, which is caused by the bacterium Mycobacterium tuberculosis (Mtb), most commonly manifests in patients with respiratory systems. However, it can also colonize other tissues including skeletal. In our case, a 77-year-old Caucasian male presented to the emergency department following a rollover motor vehicle collision with chief complaints of neck and lower back pain. After clinical improvement and a preliminary negative workup, the patient was deemed stable for discharge. Four months later, the patient was subsequently admitted for worsening back pain with workup suspicious for T9 and T10 discitis osteomyelitis and abscess formation on computed tomography (CT). During this admission, spinal Mtb was confirmed by acid-fast stain and real-time polymerase chain reaction of a CT-guided disc space aspirate of a left paraspinal cystic collection at approximately T9-T10. Given these findings, the patient was subsequently put on standard four-drug therapy for Mtb. Our case demonstrates the importance of considering Pott's disease in the diagnosis of lumbar spinal pain, especially in patients living in areas with high international migration and travel.

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Bone and Joint Tuberculosis

Khan¹

2023

Integrated Science

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A Rare Form of Pott’s Disease With Multifaceted Pathological Complications

Cited by 3 publications

References 8 publications

Postoperative Neurological Outcome in Spinal Tuberculosis Patients Presenting with Severe Neurological Deficits

Postoperative Neurological Outcome in Spinal Tuberculosis Patients Presenting with Severe Neurological Deficits

A Case of Posttraumatic Pott’s Disease

Bone and Joint Tuberculosis

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