A rare case of non-contiguous multifocal spinal tuberculosis
Hilal Abboud, Ahmed Elhankari
The Pan African Medical Journal. ;26:157. doi:10.11604/pamj..26.157.9536

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Images in clinical medicine

A rare case of non-contiguous multifocal spinal tuberculosis

Hilal Abboud, Ahmed Elhankari
Pan Afr Med J. 2017; 26:157. doi:10.11604/pamj.2017.26.157.9536. Published 16 Mar 2017

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.

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

©Hilal Abboud et al. 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.

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