| Revista: | Revista médica de Chile |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000423850 |
| ISSN: | 0034-9887 |
| Autores: | Lozano, María Carmen1 García Agudo, Lidia1 Moreno, Raquel1 Chozas, Nicolás1 García Martos, Pedro1 |
| Instituciones: | 1Hospital Universitario Puerta del Mar, Microbiología, Cádiz. España |
| Año: | 2019 |
| Periodo: | Oct |
| Volumen: | 147 |
| Número: | 10 |
| Paginación: | 1272-1275 |
| País: | Chile |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico |
| Resumen en inglés | 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 |
| Disciplinas: | Medicina |
| Palabras clave: | Neumología, Microbiología, Terapéutica y rehabilitación, Discitis, Espondilitis tuberculosa, Tuberculosis osteoarticular |
| Keyword: | Pneumology, Microbiology, Therapeutics and rehabilitation, Discitis, Spondylitis, Tuberculosis osteoarticular |
| Texto completo: | Texto completo (Ver PDF) |
