Tuberculosis tb is a disease caused by germs that are spread from person to person through. Since then condition is also referred to as potts disease or potts spine. The diagnosis tends to be delayed because of a nonspecific initial early manifestations andor low degree of suspicion. Your symptoms might not begin until months or even years after you were initially infected.
Among the 35 patients with extrapulmonary tuberculosis, 14% patients had spinal tuberculosis. Medical therapy for spinal tb requires a combination of at least 3 antituberculous drugs. Pott disease, also known as tuberculous spondylitis, is one of the oldest demonstrated diseases of humankind, having been documented in spinal remains from the iron age in europe and in ancient mummies from egypt and the pacific coast of south america. Pott disease, also known as tuberculous spondylitis, is a classic presentation of extrapulmonary tuberculosis tb. Although tuberculosis is contagious, its not especially easy to catch. Is tb of the spine contagious things you didnt know. Arizona work exposure to mrsa, spinal meningitis, or tuberculosis tb poster required. Misdiagnosed and mismanaged atypical spinal tuberculosis.
A preventable cause of death in the elderly mary ann e. Ankit madharia junior resident lata mangeshkar hospital, nagpur 2. You are much more likely to catch tuberculosis from a family member or close coworker than from a stranger on a bus or in a restaurant. Treatment of tuberculosis of the spine with neurologic. Challenges in the diagnosis and management of spinal. It is caused by a bacterial microorganism, the tubercle bacillus or mycobacterium tuberculosis.
This is a orthopedic teaching video from orthopedic medical students on trauma or elective orthopedic surgery and relevant topics. Despite the belief that spinal tuberculosis is controlled, some issues of diagnosis and. This includes family members, friends, and coworkers or schoolmates. Pdf spinal tb is still a catastrophic problem in the developing world. Read more about symptoms, diagnosis, treatment, complications, causes and prognosis.
Spinal tuberculosis synonyms, spinal tuberculosis pronunciation, spinal tuberculosis translation, english dictionary definition of spinal tuberculosis. Enter your email address to receive your free pdf download. Scientifically, it is called tuberculousspondylitis. Patients with tuberculosis of the spine who are likely to have severe kyphosis develop t. Tb of the spine or potts disease is apresentation of extrapulmonarytuberculosis that affects the spine, a kind of tuberculous arthritis of theintervertebral joints. The lower thoracic and upper lumbarvertebrae are the areas of the spine mostoften affected. Free arizona work exposure to mrsa, spinal meningitis, or. Answer to radiologic case study tuberculosis of the cervical spine. Compared to other diseases, early or atypical spinal tuberculosis. Nonosseous spinal cord tuberculosis can occur in the form of tuberculomas. Dalagang dinapuan ng potts disease o tuberculosis of the spine, nananawagan ng tulong medikal duration. Your doctor will treat active tb with a combination of medications. We present two interesting cases of spinal tuberculosis. The lower thoracic and upper lumbar vertebrae are the areas of the spine most often affected.
The surgical management of spinal tuberculosis in children and adolescents c reid mbchbpret registrar rn dunn mbchbuct, mmedorth, fcsorthsa consultant spine and orthopaedic surgeon, head of spine services groote schuur hospital and red cross war memorial childrens hospital, division of orthopaedic surgery, university of cape town. Introduction skeletal tuberculosis is common in india vertebral tuberculosis is the commonest form of skeletal tuberculosis 50% dorsal spine most commonly involved mostly seen in first 3 decades. Department of health, education, and welfare, and the national science foundation, 1975 spine 163 pages. When tb occurs outside your lungs, signs and symptoms vary according to the organs involved. Tuberculosis generally affects the lungs, but can also affect other parts of the body. Free publisher full textpmc free full textpmc free pdf. Spinal tuberculosis definition of spinal tuberculosis by.
Tuberculosis can affect other organs of the body, such as the kidneys, spine or brain. Tuberculosis tb is spread when a person with an active infection tb disease coughs, sneezes, speaks, or sings, and then a person nearby breathes in the bacteria. Tuberculosis of the spine potts disease presenting as. Doctor answers on symptoms, diagnosis, treatment, and more.
The current consensus is to diagnose and treat spinal tb early, prevent complications. Tuberculosis of the spine, if not treated adequately, may cause serious sequelae. Though uncommon in developed countries, spinal tuberculosis must. This is a mandatory posting for all employers in arizona, and businesses who fail to comply may be subject to fines or sanctions this poster must be posted in a conspicuous. The symptoms of tuberculosis tb vary depending on which part of the body is affected. Case reports of two women with tuberculosis tb of the spine potts disease presenting with severe back pain and diagnosed as. Pott disease is tuberculosis of the spine, usually due to haematogenous spread from other sites, often the lungs. Tuberculosis of spinecontemporary thoughts on current issues. Imaging of musculoskeletal and spinal tuberculosis. Tb spine with paraplegia the incidence of this complication is 1030 % and it is most often associated with tuberculosis of the dorsal spine.
Pdf spinal tuberculosis is a destructive form of tuberculosis. Patients with spinal tuberculosis usually present with pain. They may try to culture to see for check for variants. Tuberculosis of spine presentation and treatment bone. However, if the vertebral body of the spine is free from intervertebral. Tuberculosis can also affect other parts of your body, including your kidneys, spine or brain. Tuberculosis of spine or tb spine or spinal tb was first described by percivall pott. Treatment can be adjusted when susceptibility information becomes available. Tuberculosis is an infection caused by a germ named mycobacterium tuberculosis. In the past, this condition used to be a disease of the early childhood, but with improved public health measure, the age incidence has changed. Tuberculosis of the central nervous system postgraduate. Prime pubmed potts disease journal articles from pubmed.
Though this infection most commonly occurs in the lungs, it may sometimes affect the bones of the spine. This condition is of great diagnostic importance due to its link to neurologic deficits and painful spinal deformities. Tb usually affects the lungs, but it can also affect other parts of the body, such as the brain, the kidneys, or the spine. The surgical management of spinal tuberculosis in children. Up to 76% canal encroachment is compatible with a normal neurologic state as the spinal cord tolerates gradually developing compression. Spectrum of mr imaging findings in spinal tuberculosis. If you have latent tb, your doctor will probably give you medications to kill the bacteria so you dont develop active tb. Spinal tuberculosis or potts disease is an infection of the vertebral column caused by mycobacterium tuberculosis. In general, you need longterm contact with an infected person to become infected yourself. Tb usually affects the lungs, but it can also affect other parts of the body, such as the kidneys, spine, and brain. People with tb disease are most likely to spread it to people they spend time with every day. A 25yearold incarcerated man with cervical and occipitocervical junction tuberculosis presented with. Tuberculosis of the spine most commonly occur in the lower thoracic region, followed by the lumbar, cervical regions, upper dorsal and sacral regions.
Therapeutically refractory case s of tuberculosis of the spine are increasing in association with the presence of hiv and multidrugresistant tuberculosis. Tuberculosis definition tuberculosis tb is a potentially fatal contagious disease that can affect almost any part of the body but is mainly an infection of the lungs. Pott disease tuberculous tb spondylitis differential. The objectives of our study are to assess clinical and xray features of patients with spinal tuberculosis treated at hcfmusp iot s spine group in the last 25 years and to compare conservative treatment alone to the surgical approach combined with antibiotic therapy, especially regarding residual deformity and neurological deficit. If a person is suffering from tuberculosis of the spinal cord, how much time does it take to recover properly. If you start to see any of the symptoms of active tb, call your doctor right away. Surgery in spinal tuberculosis is indicated for diagnostic dilemma, neural complications, and prevention of kyphosis progression. The work exposure to mrsa, spinal meningitis, or tuberculosis tb is a job safety law poster by the arizona industrial commission. Although the thoracolumbar junction seems to be the most common site of the spinal column involvement in spinal tb, any part of the spine can be affected. An infectious disease of humans and animals caused by the tubercle bacillus and characterized by the formation of tubercles on the lungs and. Most infections show no symptoms, in which case it is known as latent tuberculosis. For example, tuberculosis of the spine may give you back pain, and tuberculosis in your kidneys might cause blood in your urine. It is associated with significant morbidity and can lead to severe functional impairment. Tuberculosis tb is an infectious disease usually caused by mycobacterium tuberculosis mtb bacteria.
The prevalence, diagnosis, and surgical risk factors of spinal tuberculosis in children. This part would be of special interest to physicians, neurologists and neurosurgeons in addition to orthopedic specialists. For the diagnosis of spinal tuberculosis magnetic resonance imaging is more. Tb in other parts of the body, such as the kidney or spine, is usually not infectious. The infection can spread from two adjacent vertebrae into the adjoining intervertebral disc space. It causes a kind of tuberculous arthritis of the intervertebral joints. Spinal tb potts disease is the most common as well as one of the most dangerous forms of skeletal tb and accounts for 50% of all cases of skeletal tb.