Spinal Tuberculosis (Pott's disease) Mimicking Paravertebral Malignant Tumor in a Child Presenting with Spinal Cord Compression

Emir, Suna; Erdem, Arzu Yazal; Demir, Hacı Ahmet; Kaçar, Ayper; Tunç, Bahattin

doi:10.4103/0974-2727.105590

Cited by 7 publications

(9 citation statements)

References 8 publications

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“…[ 1 20 ] The management of paraspinal lesions is aimed to confirm the diagnosis, either fine needle aspiration cytology or preferably by complete surgical resection. [ 5 21 22 23 ] To maintain the stability of the spine, we performed the partial unilateral laminotomy. In the present case, we could perform subtotal resection, and once we could confirm the diagnosis of tuberculosis, the patient received antitubercular treatment as per standard protocol.…”

Section: Discussionmentioning

confidence: 99%

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Extensive paraspinal tuberculosis masquerading malignant tumor in an elderly male

et al. 2018

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Paraspinal tuberculosis is an uncommon manifestation of extrapulmonary tuberculosis, and in rare cases, these lesions can mimic malignant lesions. We report a case of an elderly man where imaging showed extensive left paraspinal lesion which was mimicking malignant neoplasm. The patient underwent L3–L4 unilateral partial laminotomy, there was grayish, relatively avascular lesion in the left paraspinal region, involving the left psoas muscle and going into the neural foramina, and a subtotal resection of the lesion could be performed. However, after biopsy, it turned out to be tuberculoma, and the patient was on antitubercular therapy and doing well. The present case illustrates that extensive involvement of the paraspinal soft tissue and adjacent bony structures on imaging in tuberculosis can mimic malignant tumors. Conservative surgical excision will help in preserving the bony elements and in establishing the diagnosis.

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Section: Discussionmentioning

confidence: 99%

“…[ 2 ] Rarely, this paraspinal involvement can mimic malignant lesion and can be diagnostic challenge even in endemic countries. [ 1 3 4 5 6 7 8 ] In the present article, we report a case of an elderly man who presented with a large paraspinal tubercular lesion which was masquerading malignant lesion and review the literature.…”

Section: Introductionmentioning

confidence: 99%

Extensive paraspinal tuberculosis masquerading malignant tumor in an elderly male

et al. 2018

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“…Ce n'est que devant l'absence de réponse au traitement anti bacillaire qu'une biopsie a été faite et le diagnostic corrigé. Emir et al ont, quant à eux, rapporté le cas d'un mal de Pott traité comme tumeur maligne para vertébral ; encore une fois c'est l'exploration chirurgicale et la biopsie qui a permis de redresser le diagnostic [ 7 ]. La biopsie est donc le seul garant d'un diagnostic de certitude par la mise en évidence d'un granulome épithélioïde giganto- cellulaire avec présence d'une nécrose caséeuse.…”

Section: Discussionunclassified

Forme pseudotumorale de la tuberculose : à propos d’un cas

Salama¹,

Aghoutane²,

Fezzazi³

2017

Pan Afr Med J

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La tuberculose osseuse peut prendre l'aspect d'une tumeur maligne. Nous présentons le cas d'un enfant de 4 ans porteur d'une tuberculose osseuse ayant simulé un ostéosarcome fémoral. Le diagnostic a été redressé par l'étude anatomopathologique. Ce cas souligne l'importance de connaitre les des différents aspects cliniques et radiologiques de la tuberculose osseuse qui peut simuler une tumeur maligne. Afin d'éviter tout retard diagnostic, chirurgiens pédiatres et radiologues doivent savoir que la tuberculose peut revêtir les tableaux cliniques et radiologiques de nombreuses pathologies.

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“…In a recent review from India [13] it was reported that its prevalence varied from 18 to 54%. Spinal TB was a rare disease found in children, which needed a higher index of suspicion for diagnosis, but caused important systemic symptoms [14], and might lead to a difficult differencial diagnosis [15]. Haemophagocitic Syndrome, another important immunological complication of TB, was rarely seen but it could lead to death in children [16].…”

Section: Clinical Findingsmentioning

confidence: 99%

Clinical, Radiological and Inmunological Features in Children with Pulmonary Tuberculosis: A Review

J¹

2014

J Mycobac Dis

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In the whole world, tuberculosis (TB) continues being an important health problem. It produces a great number of deaths in children, mainly in the wake of the HIV epidemic. In addition, the globalization with the increased of the international travels and the immigration makes that TB control be more difficult. This is a clinical, radiological and immunological review in children TB where we search to contribute the data in the literature. ContextTuberculosis (TB) is one of the most important global health problems. The latest estimates included in the Global tuberculosis report are that there were 8.6 million new TB cases in 2012 and 1.3 million TB deaths worldwide. Of those, 530.000 cases and 74.000 deaths were children [1]. Clinical and radiological findings, such as hemoptisis, cough, caverns or upper-lobe condensations, might be reliable and well established in adults. By contrast, these findings might be more difficult to evaluate in children due to more nonspecific symptoms and heterogeneus radiological findings [2]. ObjectiveThe present work overviews the most important clinical and radiological findings in children diagnosed with tuberculosis infection and disease. We included articles that reported cases with children from 2 months to 13 years. Children were from different backgrounds, and from developed and underdeveloped countries. Data SourcesThe selection of studies for analysis was as follows: all articles published from October 2008 to December 2013, which described clinical and radiological findings of children with TB were selected. These articles were obtained by searching throughout several international databases including Pubmed, Scopus, Highwire Press, Scientific Information Databases, Google Scholar and EBSCO-host.To locate the articles to include in our review, the strategy consisted of an exhaustive search including the following medical subject headings (MeSH) terms: "tuberculosis" or "pulmonary tuberculosis" in combination with "children" or "infant" or "infancy", in combination with "clinical symptoms", "radiological findings", "Mantoux", "tuberculosis diagnosis", "management of tuberculosis" and "tuberculosis treatment". Study SelectionInclusion criteria for systematic review were: 1) Retrospective or prospective cohort studies; 2) Reporting clinical, radiological or Mantoux results in TB patients 3) Studies including data at the national level; and 4) Studies on TB patients meeting either the WHO recommended definitions for "definite cases" or "other than definite cases" or TB patients meeting the possible, probable or confirmed case definition as published by the European Commission in 2008.Opinion articles, editorials, comments, case studies and/or drug efficacy tested in vitro or through clinical trials were excluded from the systematic review. Furthermore, those articles not published in English or Spanish language were excluded from the review. Literature searching was performed until 1 st December 2013. Using the search terms previously described above, fifty-three st...

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Spinal Tuberculosis (Pott's disease) Mimicking Paravertebral Malignant Tumor in a Child Presenting with Spinal Cord Compression

Cited by 7 publications

References 8 publications

Extensive paraspinal tuberculosis masquerading malignant tumor in an elderly male

Extensive paraspinal tuberculosis masquerading malignant tumor in an elderly male

Forme pseudotumorale de la tuberculose : à propos d’un cas

Clinical, Radiological and Inmunological Features in Children with Pulmonary Tuberculosis: A Review

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