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ISSN 2992-8036 (Digital)
ISSN 2306-4102 (Impreso)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2000, Número 4

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Acta Ortop Mex 2000; 14 (4)


Tuberculosis vertebral múltiple. Reporte de un caso y revisión de la literatura

Frías SJA, Gutiérrez BAE, Santiago TG

Idioma: Español
Referencias bibliográficas: 71
Paginas: 360-365
Archivo PDF: 63.89 Kb.


RESUMEN

Cada año en el mundo se reportan 8 millones de casos nuevos de tuberculosis. Veinte millones están activos y un tercio de la población mundial ha tenido contacto con el bacilo tuberculoso. La tuberculosis vertebral representa el 50% de la osteoarticular. Es la región de la columna torácica la más afectada, le sigue la lumbar y la cervical. Los datos clínicos más frecuentes son: xifosis, deformidades óseas y paraplejía; cuando el cuerpo vertebral está involucrado, en especial en los niños existe importante inestabilidad, desplazamientos, compresión medular o radicular y abscesos oscifluentes con tendencia a diseminarse a las estructuras vecinas. Lo común es que sean dos vértebras vecinas las afectadas, presentamos el caso clínico de paciente femenina adulta, con compromiso múltiple y diseminación a psoas y ambas regiones inguinales así como a muslos. Recibió tratamiento médico quirúrgico con adecuada respuesta clínica.


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