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2013, Number 3

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Rev Cubana Med Gen Integr 2013; 29 (3)

Tuberculous spondylodiscitis

Oliva VDC, Achon PM, de la Torre SC, Viñas MA, Acuña AWF, Capote HAZ

Language: Spanish
References: 18
Page: 306-313
PDF size: 174.37 Kb.


ABSTRACT

Introduction: Tuberculous spondylodiscitis is the condition of tuberculosis in the spine and it is a rare disease today.
Objective: to present a patient with a diagnosis of tuberculous spondylodiscitis and clinical manifestations of lumbar pain and fever.
Case presentation: a case of a male patient aged 46 is described here. This patient was admitted due to back pain and fever during a month. At physical examination manifestations of L5-S1 nerve root compression were observed. This patient underwent the tuberculin test with induration of 22 mm, and NMR showed images compatible with L5-S1 discotic osteomyelitis complex. He presented a favorable outcome with medical treatment.
Conclusions: the differential diagnosis must be spondylodiscitis in all patients with back pain and fever.


REFERENCES

  1. Pintado V. Espondilitis infecciosa. Enferm Infecc Microbiol Clin [en Internet] 2008 [acceso dic 2011]; 26(8):510-7 Disponible en: http://www.infodoctor.org/cgibin/eutils_examplespa.pl?db=Pubmed&query=Tuberc ulosis,Osteoarticular.

  2. McHenry MC, Easley KA, Locker GA. Vertebral osteomyelitis: Longterm outcome for 253 patients from 7 Cleveland area Hospitals. Clin Infect Dis. [en Internet] 2002 [acceso dic 2011];34: 1342-50. http://cid.oxfordjournals.org/content/34/10/1342.short .

  3. Mylona E, Samarkos M, Kakalou E, Fanourgiakis P, Skoutelis A. Pyogenic vertebral osteomyelitis: a systematic review of clinical characteristics. Semin Arthritis Rheum [en Internet] 2009 [acceso dic 2011]; 39:10-17. Disponible en: http://www.sciencedirect.com/science/article/pii/s0049-0172(08)00070-x .

  4. Bhavan KP, Marschall J, Olsen MA, Fraser VJ, Wright NM, Warren DK. The epidemiology of hematogenous vertebral osteomyelitis: a cohort study in a tertiary care hospital. BMC Infectious Diseases [en Internet] 2010 [acceso dic 2011], 10:158, Disponible en: http://www.biomedcentral.com/1471-2334/10/158/

  5. Zimmerli W. Vertebral Osteomyelitis. N Engl J Med 2010 [acceso dic 2011]; 362:1022-1029. http://www.nejm.org/doi/full/10.1056/NEJMcp0910753 .

  6. García del Pozo SJ, Soto VM, Martínez E, Solera-Santos J. Osteomielitis vertebral: descripción de una serie de 103 casos e identificación de variables predictivas del grupo etiológico. Rev Clin Esp. [en Internet] 2007 [acceso dic 2011];207 (1):16-20. Disponible en: http://www.elsevier.es/sites/default/files/elsevier/pdf/65/65v207n01a13098494pdf 001.pdf

  7. Priest D.H., Peacock J.E. Hematogenous vertebral osteomyelitis due to Staphylococcus aureus in the adult: clinical features and therapeutic outcomes. Shouth Med J [en Internet] 2005 [acceso dic 2011]; 98: 854-862. Disponible en: http://journals.lww.com/smajournalonline/Abstract/2005/09000/Hematogenous_Ve rtebral_Osteomyelitis_Due_to.4.aspx

  8. Gasbarrini A, Bertoldi E, Mazzetti M, Fini L, Terzi S, Gonella F, et al. Clinical features, diagnostic and therapeutic approaches to hematogenous vertebral osteomyelitis. Eur Rev Med Pharmacol Sci [en Internet] 2005 [acceso dic 2011]; 9: 53-66. Disponible en: http://www.europeanreview.org/wp/wpcontent/ uploads/156.pdf .

  9. Alvarez E, Torres R, Gutiérrez A, Serrano M, Mao L, Lozano MA. ¿Cómo se presenta la espondilitis infecciosa? An Med Interna (Madrid) [en Internet] 2005 [acceso dic 2011; 22:355-356. Disponible en: http://scielo.isciii.es/scielo.php?pid=S021271992005000700018&script=sci_arttext &tlng=e

  10. Corrah TW, Enoch DA, Aliyu SH, Lever AM. Bacteraemia and subsequent vertebral osteomyelitis: a retrospective review of 125 patients. QJM [en Internet] 2011 [acceso febrero 2012], 104 (3): 201- 207. Disponible en: http://qjmed.oxfordjournals.org/content/104/3/201.full.pdf+html?sid=245b4c32- 724d-4433-8549 -ec9d65632eb6.

  11. Fanlo P, Tiberio G. Tuberculosis extrapulmonar. An. Sist. Sanit. Navar. [en Internet] 2007 [acceso dic 2011]; 30 (2):156-58. Disponible en: http://www.cfnavarra.es/salud/anales/textos /vol30/sup2/PDFs/10- Tuberculosis%20extrapulmonar.pdf.

  12. McDonald M, Sexton DJ. Skeletal tuberculosis. [Monografía en internet]. Walthman(MA): UpToDate;2008.[citado11Nov 2011]. Disponible en: http://www.uptodate.com/contens/skeletal-tuberculusosis.

  13. Piombino D, Di Biassio A, Pastor E. Espondilodiscitis tuberculosa. Medicina (B. Aires). [online]. ene./feb. 2007[citado diciembre 2011]; 67(1): 61-62. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025 - 76802007000100011&lng=es&nrm=iso.

  14. Benavente AM, Monge MI, Acal P. Espondilodiscitis tuberculosa lumbar. Rehabilitación: Revista de la Sociedad Española de Rehabilitación y Medicina Física. [en Internet] 2004 [acceso dic 2011]; 38 (1): 37-40. Disponible en http://sid.usal.es/articulos/discapacidad/7377/8-2-6/espondilodiscitis-tuberculosalumbar. aspx .

  15. García-Cía JI, Esteban J. Infecciones osteoarticulares por Micobacterias en un hospital universitario. Enferm Infecc Microbiol Clin. [en Internet] 2006[acceso dic 2011];24:6615.Disponible en: http://www.elsevier.es/es/revistas/anales-pediatria- 37/osteomielitis -tuberculosa-espinal-artropatia-poncet-13142094-cartas-al-editor- 2009 .

  16. Marco Puche A, López Montesinos B, Calvo Penadés I, Salavert Lletí M, González Puig L. Osteomielitis tuberculosa espinal y artropatía de Poncet. An Pediatr (Barc). [en Internet] 2009[acceso dic 2011]; 71(04) :365-6. http://apps.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=13142094&pi dent_usuario=0&pcontactid=&pident_revista=37&ty=60&accion=L&origen=elsevier &web=www.elsevier.es&lan=es&fichero=37v71n04a13142094pdf001.pdf .

  17. Acevedo E, Ponce de León D, Sánchez A, Valenzuela G. Tuberculosis Musculoesquelética. Revista de la Sociedad Peruana de Medicina Interna [en Internet] 2003 [acceso dic 2011];16 (2): 101-106. Disponible en: http://sisbib.unmsm.edu.pe/bVrevistas/spmi/v16n2/pdf/a08.pdf.

  18. Colmenero JD, Jiménez ME, Reguera JM, Palomino J, Ruiz JD, Márquez J, et al. Tuberculous vertebral osteomyelitis in the new millennium: still a diagnostic and therapeutic challenge. Eur J Clin Microbiol Infect Dis. [en Internet] 2004 [acceso dic 2011]; 23:477-83. Disponible en: http://www.springerlink.com/content/hh8prrdjgdv7yew6/.




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