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C1-C2 Pott’s Disease, a Rare Location of Spine Tuberculosis

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DOI: 10.4236/ojra.2013.34035    3,252 Downloads   5,697 Views   Citations


The authors report a new case of spine tuberculosis of C1-C2 occurred in a 58-year-old negative HIV patient that was responsible of inflammatory cervical pain with multidirectional stiffness and complicated by spastic quadriplegia. The diagnosis was made on the basis of presumptive elements, including cervical spinal CT scan, which showed atlan-to-axial subluxation (C1-C2) with destruction of the odontoid apophysis and lateral mass of the atlas and favorable evolution under specific antibiotic treatment with ethambutol, isoniazid, rifampicin, pyrazinamide and immobilization with brace cast, despite the absence of bacteriological and anatomo-pathological evidence of certainty. The evolution has been favorable, with the disappearance of cervical pain, progressive motor recovery and resumption of autonomy of walking.

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The authors declare no conflicts of interest.

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H. Ntsiba, N. N’Soundhat and D. Kidédé, "C1-C2 Pott’s Disease, a Rare Location of Spine Tuberculosis," Open Journal of Rheumatology and Autoimmune Diseases, Vol. 3 No. 4, 2013, pp. 224-226. doi: 10.4236/ojra.2013.34035.


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