A rare case of non-contiguous multifocal spinal tuberculosis
Hilal Abboud, Ahmed Elhankari
The Pan African Medical Journal. 2017;26:157. doi:10.11604/pamj.2017.26.157.9536

Create an account  |  Sign in
Case studies in Public health Supplement 2 Supplement
"Better health through knowledge sharing and information dissemination "

Images in medicine

A rare case of non-contiguous multifocal spinal tuberculosis

Cite this: The Pan African Medical Journal. 2017;26:157. doi:10.11604/pamj.2017.26.157.9536

Received: 04/04/2016 - Accepted: 07/03/2017 - Published: 16/03/2017

Key words: Spondylodiscitis, non-contiguous, multifocal

© Hilal Abboud et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/26/157/full

Corresponding author: Hilal Abboud, Neurosurgery Department, Med V, Souissi Medical School, Ibn Sina Hospital, Rabat, Morocco (abboud.hilal@gmail.com)


A rare case of non-contiguous multifocal spinal tuberculosis

Hilal Abboud1,&, Ahmed Elhankari2

 

1Neurosurgery Department, Med V, Souissi Medical School, Ibn Sina Hospital, Rabat, Morocco, 2Radiology Department, Med V, Souissi Medical School, Ibn Sina Hospital, Rabat, Morocco

 

 

&Corresponding author
Hilal Abboud, Neurosurgery Department, Med V, Souissi Medical School, Ibn Sina Hospital, Rabat, Morocco

 

 

Image in medicine    Down

Spinal tuberculosis is defined as an Infection of the intervertebral disc and the adjacent vertebral bodies, caused by Mycobacterium Tuberculosis (MT). It represents 40% of all osteo-articular spondylitis. It is a common disease in Africa, and recently there has been an upsurge in developed countries in relation to Human Immunodeficiency Virus infection. The early management is associated to a good outcome, and the diagnosis relies on imaging and disco-vertebral biopsy, it is characterized by a low amount MT in lesions and involves the slow multiplication MT. The treatment is based on antibacillary associated to surgical treatment in case of neurological deficit, and presence of vertebral column deformities. We report a rare case of a 46 years old patient, treated 3 years ago for pulmonary tuberculosis, who consults for diffuse back pain, the clinical examination finds a conscious patient, with a diffuse spinal syndrome, without neurological deficit or sphincter disorders. The radiological assessment shows a non contiguous multifocal spinal tuberculosis interesting the cervicodorsal and thoracolumbar junction.The patient underwent a vertebral biopsy, the histological examination confirms the spinal tuberculosis. He was proposed to surgical treatment to prevent the kyphosis progression.

 

 

Figure 1: A) spinal CT scan on sagittal section (bone window) objective two non contiguous locations, cervicodorsal and thoracolumbar lesions with typical mirroring invasion of the vertebral plate; B) coronal section (bone window): note the normal aspect of the vertebral bodies between the two locations; C) 3D reconstruction: cervicodorsal (C7 to T4) and thoracolumbar (D10 to L1) achievement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 28 (September - December 2017)

Article tools

This article authors

On Pubmed
On Google Scholar

Navigate this article

Rate this article

Altmetric

PAMJ is a member of the Committee on Publication Ethics
Next abstract

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved