Pott's disease in Senegal

Sakho, Y; Badiane, Seydou Boubakar; Ndao, A K; Ndiaye, Alimatou; Gueye, Mamadou; Ndiaye, Ismaïla Abderhamane

doi:10.1007/s00590-002-0057-y

Cited by 10 publications

(7 citation statements)

References 14 publications

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“…This result is consistent with those of Larget-Piet et al [18] and Maftah et al [19]. However, in the series of Sakho et al [20] the dorsal spine is a favourite site of infectious sopondylodiscitis. The gibbosity was found in half of the patients in the two groups in the present study is comparable to that found in the series of Sakho et al [20].…”

Section: Discussionsupporting

confidence: 92%

“…However, in the series of Sakho et al [20] the dorsal spine is a favourite site of infectious sopondylodiscitis. The gibbosity was found in half of the patients in the two groups in the present study is comparable to that found in the series of Sakho et al [20]. The importance of the gibbosity and neurological disorders observed also by Maftah et al [19] and Oniankitan et al [21] reflects the frequency of forms advanced disease in these series.…”

Section: Discussionmentioning

confidence: 92%

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Human Immunodeficiency Virus Can Affect the Semiology of Osteoarticular Infections?

Oniankitan¹,

Tagbor²,

Kakpovi³

et al. 2014

OJRA

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Objective: To compare the epidemiological, the clinical and the paraclinical profile of osteoarticular infections in HIV-positive patients and in HIV-negative patients. Patients and Methods: patients with Osteoarticular infections recognized on the basis of radioclinical and epidemiological arguments were included in this study. The comparison that was based on the existence or was not of HIV infection focused on various clinical and biological components. Of these 15,800 rheumatic patients admitted in 18 years, 461 have suffered from Osteoarticular infection (2.9%). The 461 patient objects of this study were divided into 235 cases of infectious arthritis including 38 cases of co-infection with HIV and 225 cases of infectious spondylodiscitis including 21 cases of HIV coinfection. Results: There were 246 women (53.4%) and 215 men (46.4%) with a sex ratio of 1.1. The mean age was 37.7 ± 13.6 years. The data comparison of HIV-negative patients and HIV-positive patients had not shown statistically significant difference in the infectious spondylodiscitis group and in the group of infectious arthritis patients. Only fever was statistically significant in both groups and weight loss in the group of infectious arthritis (p < 0.001). Conclusion: HIV seems not to particularly influence the semiological profile of Osteoarticular infections in Lomé.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 92%

Human Immunodeficiency Virus Can Affect the Semiology of Osteoarticular Infections?

Oniankitan¹,

Tagbor²,

Kakpovi³

et al. 2014

OJRA

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“…However, lumbosacral segment TB is rare and only accounts for 2%–4% cases of spinal TB [34]. TB spondylitis of the lumbosacral region has rarely been documented in the literature.…”

Section: Introductionmentioning

confidence: 99%

“…Spinal tuberculosis (TB) is one of the most common forms of extrapulmonary TB, accounting for approximately 50% cases of musculoskeletal TB [ 1 2 ]. However, lumbosacral segment TB is rare and only accounts for 2%–4% cases of spinal TB [ 3 4 ]. TB spondylitis of the lumbosacral region has rarely been documented in the literature.…”

Section: Introductionmentioning

confidence: 99%

One-Stage Anterolateral Debridement, Bone Grafting, and Internal Fixation for Treating Lumbosacral Tuberculosis

Zhang

et al. 2017

Asian Spine J

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Study DesignRetrospective case series.PurposeTo investigate the clinical efficacy and feasibility of one-stage anterolateral debridement, bone grafting, and internal fixation for treating lumbosacral tuberculosis.Overview of LiteratureThere has been no consensus regarding the optimal means of treating lumbosacral tuberculosis. The one-stage anterolateral extraperitoneal approach for radical debridement, bone grafting, and internal fixation for treating lumbosacral tuberculosis is rare in literature.MethodsTwenty-one patients with lumbosacral tuberculosis were retrospectively analyzed. All patients underwent the surgery of anterolateral debridement after regularly antituberculous drugs therapy. We evaluated the erythrocyte sedimentation rate, C-reactive protein, radiography, computed tomography, magnetic resonance imaging, visual analogue score, and Oswestry disability index before and after surgery.ResultsAll patients completed a follow-up survey 9–48 months after surgery. All patients' wounds healed well without chronic infection or sinus formation, and all patients with low-back pain reported relief after surgery. All cases had no tuberculosis recurrence. Solid bony fusion was achieved within 6–12 months. At final follow-up, evaluated the erythrocyte sedimentation rate decreased from 38.1±12.5 to 11.3±7.1 mm/hr, C-reactive protein decreased from 6.2±4.2 to 1.6±1.3 mg/dL, the visual analog scale score decreased from 4.6±1.1 to 1.4±1.0, the Oswestry disability index score decreased from 50.2%±11.9% to 13.0%±6.6%, and the lumbosacral angle increased from 20.0°±4.8° to 29.0°±3.9° (p<0.05).ConclusionsOne-stage anterolateral debridement, bone grafting, and internal instrument fixation for treating lumbosacral tuberculosis is safe and effective.

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“…Left thigh CT scan (axial section) revealing abscess.incidence of PD is second only to the dorsal[5].In developing countries, tuberculosis still a public health problem for young adult subjects despite the establishment of specific decentralized programs to combat tuberculosis and the free availability of anti-tuberculosis drugs. In this context the diagnosis is still late (at least two years in our patient).Delays of consultation are related to the combination of several factors including ignorance, poverty, the use of traditional medicine, certain beliefs and taboos that equate the occurrence of affection to a bad spell.…”

mentioning

confidence: 99%

Case of Unusual Abscess Localization in Lumbar Pott’s Disease

Walla¹,

Beketi²,

Tine³

et al. 2018

OJO

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In Pott's disease, cold abscesses usually sit and spread along the psoas muscle. This case concerned a 60 years old man who came to us with bilateral lomboradicular pain and a swelling of inguinal area and the anterior part of the left thigh. We found a 2 years long lasting story of low back pain complaint. Physical examination showed good general health status, stiffness of lumber spine, a left psoïtis and no neurological deficit. CT scan going downward from the lumbar spine to the pelvic region and femoral limb with coronal reconstruction demonstrated a huge disco-vertebral destruction of L2-L3 with translation, and bilateral paramedian psoas abscess migrating subfascially toward Scarpa triangle and cleaving anteriorly mainly muscles of the left thigh. After 12 months medical treatment, the evolution has been favorable with clinical cure. The localization of the cold abscess in the left thigh anterior muscles compatment is uncommon. It is why we report this case.

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Pott's disease in Senegal

Cited by 10 publications

References 14 publications

Human Immunodeficiency Virus Can Affect the Semiology of Osteoarticular Infections?

Human Immunodeficiency Virus Can Affect the Semiology of Osteoarticular Infections?

One-Stage Anterolateral Debridement, Bone Grafting, and Internal Fixation for Treating Lumbosacral Tuberculosis

Case of Unusual Abscess Localization in Lumbar Pott’s Disease

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