Spinal Tuberculosis and Cold Abscess without Known Primary Disease: Case Report and Review of the Literature
Extrapulmonary tuberculosis (TB) is uncommon but not rare. Bone and joint involvement constitute about 10% of extrapulmonary TB cases, with the spine being the most frequently affected site. Spinal TB patients typically present with back pain but other constitutional or pulmonary symptoms may be abs...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2016/1780153 |
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| _version_ | 1832554662692126720 |
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| author | Rima Patel Vedavyas Gannamani Emily Shay David Alcid |
| author_facet | Rima Patel Vedavyas Gannamani Emily Shay David Alcid |
| author_sort | Rima Patel |
| collection | DOAJ |
| description | Extrapulmonary tuberculosis (TB) is uncommon but not rare. Bone and joint involvement constitute about 10% of extrapulmonary TB cases, with the spine being the most frequently affected site. Spinal TB patients typically present with back pain but other constitutional or pulmonary symptoms may be absent, rendering the diagnosis difficult. This case explores challenges in the diagnosis of spinal TB. We report a case of a 39-year-old woman presenting with vague back swelling for many years. Imaging revealed osteomyelitis of the spine but initial studies and cultures were negative for Mycobacterium tuberculosis. The diagnosis was confirmed weeks later when cultures demonstrated Mycobacterium tuberculosis. Considering the severe complications of untreated spinal TB including paraplegia and need for surgical intervention, high suspicion is critical in early diagnosis. |
| format | Article |
| id | doaj-art-c5bd000dc339462b8fa1a6c0999662cd |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-c5bd000dc339462b8fa1a6c0999662cd2025-02-03T05:50:55ZengWileyCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/17801531780153Spinal Tuberculosis and Cold Abscess without Known Primary Disease: Case Report and Review of the LiteratureRima Patel0Vedavyas Gannamani1Emily Shay2David Alcid3Department of Medicine, Rutgers Robert Wood Johnson Medical School, 675 Hoes Lane, Piscataway, NJ 08854, USADepartment of Medicine, Saint Peter’s University Hospital, 254 Easton Ave, New Brunswick, NJ 08901, USADepartment of Medicine, Saint Peter’s University Hospital, 254 Easton Ave, New Brunswick, NJ 08901, USADepartment of Medicine, Saint Peter’s University Hospital, 254 Easton Ave, New Brunswick, NJ 08901, USAExtrapulmonary tuberculosis (TB) is uncommon but not rare. Bone and joint involvement constitute about 10% of extrapulmonary TB cases, with the spine being the most frequently affected site. Spinal TB patients typically present with back pain but other constitutional or pulmonary symptoms may be absent, rendering the diagnosis difficult. This case explores challenges in the diagnosis of spinal TB. We report a case of a 39-year-old woman presenting with vague back swelling for many years. Imaging revealed osteomyelitis of the spine but initial studies and cultures were negative for Mycobacterium tuberculosis. The diagnosis was confirmed weeks later when cultures demonstrated Mycobacterium tuberculosis. Considering the severe complications of untreated spinal TB including paraplegia and need for surgical intervention, high suspicion is critical in early diagnosis.http://dx.doi.org/10.1155/2016/1780153 |
| spellingShingle | Rima Patel Vedavyas Gannamani Emily Shay David Alcid Spinal Tuberculosis and Cold Abscess without Known Primary Disease: Case Report and Review of the Literature Case Reports in Infectious Diseases |
| title | Spinal Tuberculosis and Cold Abscess without Known Primary Disease: Case Report and Review of the Literature |
| title_full | Spinal Tuberculosis and Cold Abscess without Known Primary Disease: Case Report and Review of the Literature |
| title_fullStr | Spinal Tuberculosis and Cold Abscess without Known Primary Disease: Case Report and Review of the Literature |
| title_full_unstemmed | Spinal Tuberculosis and Cold Abscess without Known Primary Disease: Case Report and Review of the Literature |
| title_short | Spinal Tuberculosis and Cold Abscess without Known Primary Disease: Case Report and Review of the Literature |
| title_sort | spinal tuberculosis and cold abscess without known primary disease case report and review of the literature |
| url | http://dx.doi.org/10.1155/2016/1780153 |
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