OA-WS-50 Imagerie de la tuberculose osteo-articulaire

Incidental finding of Pott's disease with abscesses of the psoas simulating an appendicular syndrome

“…However, an MRI can be missed if it is carried out very early, which is why it is advisable to carry out a new MRI if the first examination is noncontributory [3] . CT is also an effective tool for investigating spondylodiscitis and can be used as a first-line treatment when MRI is unavailable or not indicated [4] . Initially, and even more so in the acute phase, it shows erosions of the vertebral endplates, subchondral geodes with a mirror-like appearance, intradiscal hypodensity, and sometimes bone sequestration [10] .…”

“…Standard radiography is currently of very little use in the investigation of tuberculous spondylodiscitis. It is used as a means of unraveling the problem and, in the initial phase, can reveal mirror-image erosions of the 2 vertebral end plates, a pinched disc, and swelling of the paravertebral soft tissues [4] . Later, at a sequelae stage, it shows vertebral blocks due to the fusion of the vertebral bodies affected.…”

“…It is responsible for chronic clinical manifestations with abscesses forming in the perivertebral soft tissues and epidural spaces [1] . Medical imaging plays an indisputable role in the diagnosis and management of Pott's disease [ 3 , 4 ]. Magnetic resonance imaging (MRI) is the examination of choice for early positive diagnosis and assessment of spinal damage.…”