Case Report
Year: 2020 | Month: September | Volume: 7 | Issue: 9 | Pages: 156-158
Pott’s Spine (Tuberculous Spondylodiscitis): A Case Report
Shreya S1, Tiny Elna Mathew1, Poulston Femin1, Priscilla Mary2, Sheik Haja Sherief2, Sivakumar T3
1Pharm D. Interns, Department of Pharmacy Practice, Nandha College of Pharmacy, Erode, Tamilnadu.
2 Department of Pharmacy Practice, Nandha College of Pharmacy, Erode, Tamilnadu.
3Principal, Nandha College of Pharmacy, Erode, Tamilnadu
Corresponding Author: Shreya S
ABSTRACT
Pott’s spine is a condition where one or more vertebra and intervertebral disc spaces are inflamed due to Mycobacterium tuberculosis. Spinal Tuberculosis or Pott’s spine is the most common extrapulmonary manifestation of Tuberculosis. It is an infectious disease spreads through hematogenous route from lungs to the paravertebral tissue of spine. Clinically Pott’s spine occur about 59% of cases per year; 10 million new cases every year with 56% are MDR-TB. Patients may usually experience backpain, tenderness and thoracolumbar spine deformity. The infection spreads to spine resulting in osteolysis and osteoporosis. This causes vertebral collapse, Kyphosis and neurologic deficit (paraplegia, paresthesia and weakness of limbs). Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scan will demonstrate the disc collapse with posterior elements erosion, while MRI is the gold standard diagnostic tool. Further biopsy helps in histopathological findings. Various treatment options available are Anti-Tubercular Therapy (Gold standard), Surgical Spinal cord decompression, Abscess drainage and spinal fusion.
Keywords: Anti-tubercular drugs, Pott’s disease, spinal disc collapse, Tuberculosis.
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