Tuberculosis of the spine (Pott's disease) presenting as 'compression fractures'

Title

Tuberculosis of the spine (Pott's disease) presenting as 'compression fractures'

Creator

Dass B; Puet T A; Watanakunakorn C

Publisher

Spinal Cord

Date

2002
2002-11

Description

Study design: Case reports and survey of literature. Objective: Case reports of two women with tuberculosis (TB) of the spine (Pott's disease) presenting with severe back pain and diagnosed as compression fracture are described. Physicians should include Pott's disease in the differential diagnosis when patients present with severe back pain and evidence of vertebral collapse. Setting: Ohio, USA. Methods: A review of the literature on the pathogenesis, pathophysiology, clinical presentation, diagnostic methods, treatment and prognosis of spinal TB was conducted. Results: After initial delay, proper diagnosis of spinal TB was made in our patients. Microbiologic diagnosis confirmed M. tuberculosis, and appropriate medical treatment was initiated. Conclusions: Although uncommon, spinal TB still occurs in patients from developed countries, such as the US and Europe. Back pain is an important symptom. Vertebral collapse from TB may be misinterpreted as 'compression fractures' especially in elderly women. Magnetic resonance imaging scan (MRI) is an excellent procedure for the diagnosis of TB spine. However, microbiologic diagnosis is essential. Mycobacterium tuberculosis may be cultured from other sites. Otherwise, biopsy of the spine lesion should be done for pathologic diagnosis, culture and stain for M. tuberculosis. Clinicians should consider Pott's disease in the differential diagnosis of patients with back pain and destructive vertebral lesions. Proper diagnosis and anti-tuberculosis treatment with or without surgery will result in cure.

Subject

diagnosis; bone; rehabilitation; management; Neurosciences & Neurology; compression; tuberculosis; Fracture; immunodeficiency-virus infection; Pott's disease; tuberculosis of spine

Format

Journal Article or Conference Abstract Publication

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

604-608

Issue

11

Volume

40

Citation

Dass B; Puet T A; Watanakunakorn C, “Tuberculosis of the spine (Pott's disease) presenting as 'compression fractures',” NEOMED Bibliography Database, accessed January 21, 2021, https://neomed.omeka.net/items/show/9007.

Social Bookmarking