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Espondilodiscitis tuberculosa con tumoración lumbar. Tuberculous spondylodiskitis with lumbar tumor. María Cristina López-Sáncheza, Gabriela Calvo Arrojoa. Download PDF. 1 / 2 Pages. Previous article. Go back to website. Next article. Download Citation on ResearchGate | On Feb 1, , Diego Piombino and others published Espondilodiscitis tuberculosa }.

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Author information Article notes Copyright and License information Disclaimer. Imaging studies are of great importance for the diagnosis, such as plain radiographs in which can be observe the processes of the vertebrae and the loss of its anatomy, the first radiographic sign is osteoporosis of the body affected, followed by osteolysis which can progress to spondylodiscitis 1113 ; the axial CT scan allows us espondilodisitis observe the exact extent of bone lesion, lesions within the vertebral body and the tubreculosa of invasion of the spinal canal, can be used for diagnosis and monitoring tuberculoda disease 11 – Studies of the sample were conducted, reported negative cultures, Gram stain negative, negative ink, Ziehl-Neelsen stain was made finding scarce acid-fast bacilli compatible with Mycobacterium tuberculosis.

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CT findings of adrenal glands in patients with tuberculous Addison’s disease. Open in a separate window. Abscess drainage was performed with Ziehl-Neelsen stain, where acid-fast bacilli tubefculosa compatibles with Mycobacterium tuberculosis were observed, confirming the diagnosis with culture.

CT of chest was performed, in which an image hypodense paravertebral between T2—T5 was observed, as well as a destruction of the vertebral bodies of T5 and T6 Figure 1. Management with Dotbal rifampin, isoniazid, pyrazinamide, ethambutoltwo tablets esponilodiscitis 12 hours began, completing intensive and supportive phase.

Espondilodiscitis tuberculosa

Since the advent of HIV, have emerged opportunistic diseases, including tuberculosis, nevertheless extrapulmonary manifestations, such as tuberculous spondylodiscitis, have increased their frequency 7 – 9. In the MRI can be observed osteolytic lesions, disc space narrowing, loss of vertebral body height, erosions in the endplates, the presence of intra and extravertebral abscesses eslondilodiscitis compression of the dural sac, preferably being the imaging study in this pathology 11 The authors have no conflicts of interest to declare.


In the case of our two patients, one of them had a history of chronic alcoholism.

It is common the presence of comorbidities in these patients, especially those who have a decreased immune response cell type. A Skull tomography in axial section, in which hypodense image is observed with jagged edges at right parietal lobe level; B skull tomography with contrast in coronal section, in which the presence of a hypodense image emphasizing in ring at right parietal lobe, with subfalcial hernia and compression of right lateral ventricle is observed; C skull tomography with contrast in sagittal section, where the presence of a hypodense image emphasizing in ring at right parietal lobe, surrounded by a hypodense image, suggestive edema is observed; D skull tomography with contrast in axial section, where the presence of a hypodense image emphasizing in ring at right parietal lobe level, with midline shift to the guberculosa is observed.

Espondilodiscitis tuberculosa | la neuroimagen | Flickr

Orthop Traumatol Surg Res ; CT findings in splenic tuberculosis. CT and MR imaging features. Similarly, they may have tuberculosis infection in other locations, mainly in the lungs, followed by nodal level, but may also have renal and hepatic affectation 211 At admission, the patient was conscious, oriented, referring the presence of holocraneal headache, no data targeting.

Chest X-ray result within normal parameters.

Two cases of tuberculous spondylodiscitis: a rare manifestation of extrapulmonary tuberculosis

Microbiological and immunological diagnosis of tuberculous spondylodiscitis. Our patients had no pulmonary tuberculosis, however one of them presented brain abscess secondary to Mycobacterium tuberculosis, which is rare and this combination has not been reported in the literature. Based control PCR for Mycobacterium tuberculosis, gave a negative result.

Patients often have a chronic course with weight loss in half the cases, the presence of espodnilodiscitis, malaise, and night sweats is also common in a third of patients 12 Quant Imaging Med Surg ; 3: Asian Spine J ; Jodra S, Alvarez C.

Two cases of tuberculous spondylodiscitis: a rare manifestation of extrapulmonary tuberculosis

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Espondilpdiscitis resonance imaging MRI and tomography in which the vertebral body of T5 and the presence of paravertebral abscess can be observed. Copyright Quantitative Imaging in Medicine and Surgery. Imaging studies are important for diseases detection, mainly the computed axial tomography CT and magnetic resonance imaging MRI which since have made it possible to detect the disease at a predestructive phase and at rare sites of presentation 12.

Tuberculous spondylodiskitis Pott’s disease: It is essential to confirm the presence of the agent, for this can be used intradermal reaction Mantoux PPDZiehl-Neelsen stain, PCR genome of the mycobacterium and quantification of interferon gamma released 11 Automatic screening for tuberculosis in chest radiographs: Tuberculosis of the spine: Because of this, our patients underwent this study to determine the lesions in the spine level, finding characteristic features as the paravertebral collection, the destruction of the vertebral bodies, however not intervertebral disc injury was found.

Chest radiography was performed, with results within normal parameters.

N Engl J Med ; A MRI sagittal T1 with gadolinium lumbosacral spine, hypointense image is observed at the level of S1—S3, suggestive of collection; B MRI sagittal T2 with gadolinium lumbosacral spine, hyperintense image is observed at the level of S1—S3, suggestive of collection which grows to the intra-spinal space; C MRI axial section T2 with gadolinium, where hyperintense image is observed at the level of right sacroiliac joint, suggestive of collection; D MRI coronal T2 with gadolinium lumbosacral spine, where hyperintense image is observed at the level of right sacroiliac espondilodiscitid.

Archivos de Tuberdulosa Interna ; Footnotes Conflicts of Interest: