Noncontiguous multi-tiered spinal tuberculosis associated with sternal localization: a case report

Erraoui, M; Amine, Bouchra; Tahiri, Latifa; Binoune, Imane El; Bahha, J; Hajjaj–Hassouni, N.

doi:10.1186/s13256-017-1323-2

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Upon reviewing the literature, few cases were found and were mainly in either tuberculosis (TB) or brucellosis. 4 Multilevel spinal involvement in the latter is rare and accounts for about 3.2-9%. 11…”

Section: Discussionmentioning

confidence: 99%

Multiple Noncontiguous Spondylodiscitis Following Mastectomy Secondary to Breast Carcinoma: Case Report and Literature Review

Hasan

ALi

Al-Jasim

et al. 2021

Egyptian Spine Journal

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Background Data: Multiple noncontiguous spontaneous pyogenic spondylodiscitis is rare and has only been explained in the literature by case reports and case series. Purpose: We present a case report of multiple noncontiguous spontaneous spondylodiscitis caused by E. coli involving the cervical and lumbar spine following a mastectomy for breast cancer. We will explain the difficulties in diagnosis, treatment, and follow-up with the concomitant. Study Design: A case report and literature review. Case Report: A middle-aged patient with a history of breast carcinoma underwent surgery. Two weeks after mastectomy, the patient developed severe cervical and lumbar spine pain and a low-grade fever (37.5-38.3 °C). Moreover, neurological examination revealed a right-sided antalgic gait, right-sided weakness, and a positive straight leg raising test. Upon presentation, elevated C-reactive protein (CRP) and white blood cells (WBC) were noted. Magnetic resonance imaging (MRI) showed consistent spondylodiscitis at C5-C6 and L3-L4 levels with stenotic features at L4-L5 levels. Surgical treatment of the lumbar region via posterior spinal instrumentation from L3 to L5 levels and decompression was done with a biopsy. Erythrocyte sedimentation rate (ESR) CRP titers were also performed for the follow-up plan, which showed a reduction in 3, 6, and 12 weeks postoperatively. Conservative treatment of the cervical region was undertaken with a complete cure. Conclusion: Multiple noncontiguous spondylodiscitis after nonspinal surgery is a relatively rare complication requiring a high suspicion index. Surgery is recommended in case of failure of conservative measures, neurological deficit, or mechanical instability as in this case. Furthermore, both clinical examination and blood tests should be used to assess the treatment outcomes. (2021ESJ246)

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Section: Discussionmentioning

confidence: 99%

Multiple Noncontiguous Spondylodiscitis Following Mastectomy Secondary to Breast Carcinoma: Case Report and Literature Review

Hasan

ALi

Al-Jasim

et al. 2021

Egyptian Spine Journal

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“…None stated None stated Erraoui et al 23 41/F Back pain, Hyperesthesia T11, T12, L2, L3, L5 Drug chemotherapy Better Turgut 24 53/F Back pain, Sensory and motor deficit C6, T8, T9, L3, L4 Drug chemotherapy + Surgery Better Emel et al 25 17/F Neck and back pain, Dysphagia, Sensory and motor deficit C2-C4, T1, T2, T12, L3 Drug chemotherapy + Surgery Better Wang et al 26 25/M Neck and back pain, Sensory and motor deficit C3-C6, T2-T5, T11-L1, L3, L5, S1, S2…”

Section: Laboratory Examinationmentioning

confidence: 98%

Diagnosis and Treatment of Skipped Multifocal Spinal Tuberculosis Lesions

Lyu

Zhang

2023

Orthopaedic Surgery

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Spinal tuberculosis, also known as Pott's disease or tuberculous spondylitis, is usually secondary to primary infection in the lungs or other systems, and in most instances, is thought to be transmitted via blood. Typical manifestations of infection include narrowing of the intervertebral disc by erosion and bone destruction of adjacent vertebrae. Atypical spinal tuberculosis is a specific type of spinal tuberculosis. It mainly consists of single vertebral lesions, single posterior structure lesions, multiple vertebral lesions, and intra-spinal lesions. Skipped multifocal spinal tuberculosis is one of these types and is characterized by two or more vertebral lesions without the involvement of the adjoining intervertebral discs, regardless of their location. To date, only a few cases have been reported. Upon clinical admission, it can be treated conservatively or surgically, depending on the patient's symptoms. In addition, gene or biological therapies are being investigated. However, because of the exceptional imaging findings and insidious symptoms, it is often misdiagnosed as a neoplastic lesion, osteoporotic fracture, or other infectious spondylitis, increasing the risk of neurological deficit and kyphotic deformity, and delaying the optimal treatment window. In this study, we review the diagnosis and treatment strategies for skipped multifocal spinal tuberculosis lesions and enumerate the common differential diagnoses, to provide reference and guidance for clinical treatment and diagnosis direction.

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Vertebral Osteomyelitis and Spondylodiscitis

Akhaddar

2023

Atlas of Sciatica

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Noncontiguous multi-tiered spinal tuberculosis associated with sternal localization: a case report

Cited by 3 publications

References 9 publications

Multiple Noncontiguous Spondylodiscitis Following Mastectomy Secondary to Breast Carcinoma: Case Report and Literature Review

Multiple Noncontiguous Spondylodiscitis Following Mastectomy Secondary to Breast Carcinoma: Case Report and Literature Review

Diagnosis and Treatment of Skipped Multifocal Spinal Tuberculosis Lesions

Vertebral Osteomyelitis and Spondylodiscitis

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