Sacrum Pott’s disease: A rare location of spine tuberculosis

Oniankitan, Owonayo; Fianyo, Eyram; Kakpovi, Kodjo; Agoda-Koussema, LK; Mijiyawa, M

doi:10.1016/j.ejr.2014.02.001

Cited by 14 publications

(17 citation statements)

References 9 publications

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“…Case-based evidence from this review shows that night sweats 15,[17][18][19][20][21] and significant recent weight loss [14][15][16][17]20,23 are more characteristic of STB. Fever and cough on the other hand were comparatively less prevalent among the patients while some of the reviewed studies did not provide patient information about the constitutional symptoms, and it is therefore difficult to ascertain whether these symptoms were absent or merely not recorded.…”

Section: Constitutional Symptomsmentioning

confidence: 89%

“…Following the exclusion of papers based on the relevance according to the inclusion criteria, a total number of 28 full text papers were deemed eligible for the inclusion (Figure 2). The included studies were 10 case reports [14][15][16][17][18]20,[26][27][28][29] and six case series reporting on 18 individual patients. 19,[22][23][24][25] The search strategy is detailed in Data S1.…”

Section: Review Process For the Development Of The Evidence-based Cmentioning

confidence: 99%

“…21 Even though these cases were reported in developed countries, the patients are considered to have originally come from developing countries which are TB-endemic. The other 15 cases were reported in Africa 16,19,23,26,28,29 and India, 24,25 both of which are known TB-endemic regions of the world.…”

Section: Demographic Information Of Reviewed Case Studiesmentioning

confidence: 99%

“…Three of the cases 23,25,28 had a combination of four different signs, while five cases 23,25,26 had three signs, and the majority (42%) had two signs. [15][16][17][18][22][23][24][25]27,29 On the other hand, only two cases 20,21 had a single sign while none was symptom free.…”

Section: Constitutional Symptomsmentioning

confidence: 99%

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Spinal tuberculosis: A systematic review of case studies and development of an evidence‐based clinical guidance tool for early detection

Louw

Tawa

Niekerk

et al. 2019

Evaluation Clinical Practice

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Rationale, aims, and objectives: Despite research being done on spinal tuberculosis, diagnosing this condition at an early stage remains problematic due to its insidious onset and the varying symptoms being associated. Most individuals present to the health care facility with either simple back pain at an early stage or neurological complications at a later stage, when spinal compression and vertebral collapse have occurred as a result of delayed diagnosis. The prevention of secondary complications is therefore dependent on early recognition and diagnosis. The objective of this review was to identify common clinical patterns in case presentations and develop an evidence-based clinical guidance tool to assist clinicians in the early identification of spinal tuberculosis. Method: A comprehensive literature search was conducted for published spinal tuberculosis case studies, which yielded 28 cases after critical appraisal. Data from the studies were categorized in order to assist with a factor analysis and the development of an evidence framework for screening and diagnosing spinal tuberculosis. An evidence-based clinical guidance tool was then designed from the data obtained. Results: Factors associated with spinal tuberculosis and frequently reported symptoms and physical signs with which the patient could present upon assessment were identified. Options for investigations at primary, secondary, and tertiary levels were also identified. Conclusion: Through the use of an evidence-based clinical guidance tool, the clinician could be guided in the early suspicion and management of individuals with spinal tuberculosis and prevention of secondary complications.

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Section: Constitutional Symptomsmentioning

confidence: 89%

Section: Review Process For the Development Of The Evidence-based Cmentioning

confidence: 99%

Section: Demographic Information Of Reviewed Case Studiesmentioning

confidence: 99%

Section: Constitutional Symptomsmentioning

confidence: 99%

See 2 more Smart Citations

Spinal tuberculosis: A systematic review of case studies and development of an evidence‐based clinical guidance tool for early detection

Louw

Tawa

Niekerk

et al. 2019

Evaluation Clinical Practice

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“…In a case from another African country, rare TB localization of the wrist has been described and it has been suggested that nonspecific chronic wrist arthritis, especially if the patient is immunocompromised HIV infected should raise suspicion of TB [3]. In another case, isolated sacral tuberculosis was reported and it has been reported that a high degree of suspicion is needed in the presence of atypical clinical and radiological features particularly in Black Africa [4]. Septic arthritis of the dorsal facet joint (DFJ) is a rare clinical entity frequently underestimated.…”

Section: Introductionmentioning

confidence: 92%

Isolated tuberculous arthritis of the dorsal facet joint

Maatallah

Abdelghani

Abdellatif

et al. 2016

The Egyptian Rheumatologist

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Introduction: Septic arthritis of the facet joint is a severe infection. The lumbar spine is frequently involved; the dorsal one is rarely affected.Case report: We present a case of a patient with a history of right cervicobrachial neuralgia with anorexia and asthenia without fever. Performed investigations had concluded to tuberculous arthritis of the dorsal facet joint. The tuberculous etiology is an originality of our observation since it has been reported in only one case. In the absence of histological and bacteriological proof, the diagnosis was established according to clinical, epidemiological and biological data. Treatment was based on antitubercular antibiotics.Conclusion: The tuberculous origin of septic facet joint should be considered in front of trolling and unexplained back pain, especially in endemic countries.

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