Spinal Tuberculosis with Chronic Discharging Sinus in right Paravertebral Lower Back Region: A Case Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Abstract: Spinal tuberculosis (Tubercular Spodylitis) is a common extrapulmonary manifestation accounting 50% of skeletal tuberculosis. We reported a case of spinal tuberculosis in a 27 years old man with neurological manifestation with unusual right paravertebral chronic discharging sinus in the lower back region. He was presented with pain on the upper dorsal and swelling in the lower back with spastic paraperesis with muscle grade 3/5, exaggerated jerk with no sensory involvement in lower limbs for 2 months. He was inadvertently drained in surgical outpatient department and subsequently developed chronic discharging sinus. MRI dorsal region revealed an eroding lesion C7/D1 level with paravertebral abscess. A surgical decompression without fixation of dorsal pedicle. Biopsy and Gene Xpert was done and confirmed as mycobacterium. Immediately after surgical intervention in the upper dorsal level, discharging sinus gradually obliterated and neurological grade improved. Finally in our country: any patient with dorsolumber paravertebral swelling neurological evaluation of whole spine have to be done before incision will reduce morbidity and mortality
Authors and Affiliations
Das S, Islam MM, Subhan KI, Howlader MRA, Dey S, Mahbub H
Keywords
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- EP ID EP244793
- DOI 10.9790/0853-1610136669
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