Espondilodiscitis tuberculosa en Cádiz (España) durante diez años



Document title: Espondilodiscitis tuberculosa en Cádiz (España) durante diez años
Journal: Revista médica de Chile
Database: PERIÓDICA
System number: 000423850
ISSN: 0034-9887
Authors: 1
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1
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Institutions: 1Hospital Universitario Puerta del Mar, Microbiología, Cádiz. España
Year:
Season: Oct
Volumen: 147
Number: 10
Pages: 1272-1275
Country: Chile
Language: Español
Document type: Artículo
Approach: Caso clínico
English abstract Background: Tuberculous spondylodiscitis is relatively uncommon but represents the most common location of osseous tuberculosis. Aim: To describe clinical features, imaging studies and laboratory tests to establish the diagnosis in a group of patients living in Cádiz (Spain). Material and Methods: Retrospective analysis of medical records of patients with tuberculous spondylodiscitis diagnosed between 2000 and 2009. The diagnosis was based on microorganism recovery from vertebral samples obtained by imaging guided biopsies. Results: Six patients with positive Mycobacterium tuberculosis cultures from vertebral samples, were identified (10% of extrapulmonary tuberculosis). In only 2 patients the Ziehl-Nielsen stain was positive, and histology was compatible in 4 cases. Four patients were females, their mean age was 54.3 years and the mean duration of symptoms was 7.3 months. Three patients had lumbar location and a positive Mantoux test. A soft tissue abscess was present in 4 cases. None of these patients had neurological complications. The treatment with four tuberculostatic agents (isoniazid, rifampicin, pyrazinamide and ethambutol) was effective in 5 patients. Conclusions: Tuberculous spondylodiscitis may become a serious disease due to diagnostic and treatment delays. The main examinations to establish diagnosis are magnetic resonance imaging and biopsy with microbiological culture. Generally, antituberculous therapy is effective in this clinical situation
Disciplines: Medicina
Keyword: Neumología,
Microbiología,
Terapéutica y rehabilitación,
Discitis,
Espondilitis tuberculosa,
Tuberculosis osteoarticular
Keyword: Pneumology,
Microbiology,
Therapeutics and rehabilitation,
Discitis,
Spondylitis,
Tuberculosis osteoarticular
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