Atypical Presentation of Cervical Pott’s Disease: A Case Report - Journal of Tuberculosis Research

JTR > Vol.9 No.3, September 2021

Journal of Tuberculosis Research

Volume 9, Issue 3 (September 2021)

ISSN Print: 2329-843X ISSN Online: 2329-8448

Google-based Impact Factor: 0.62 Citations

Atypical Presentation of Cervical Pott’s Disease: A Case Report ()

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DOI: 10.4236/jtr.2021.93020 210 Downloads 2,004 Views Citations

Author(s)

Emecheta G. Okwudire^1*, Ugonna M. Ezenwugo², Johnpatrick U. Ugwoegbu², Chika A. Okoro³, Ifeanyichukwu Isiozor²

Affiliation(s)

¹Department of Radiology, NSIA Umuahia Diagnostic Centre, Umuahia, Abia State, Nigeria.
²Department of Radiology, Federal Medical Centre, Owerri, Imo State, Nigeria.
³Universal Health Coverage, Communicable Diseases Cluster, World Health Organization Office, Owerri, Imo State, Nigeria.

ABSTRACT

Tuberculous spondylitis, also known as Pott’s disease, is due to infection of the spine by mycobacterium tuberculosis (MTB) leading to vertebral body and inter-vertebral disc destruction. It is the most common form of musculoskeletal tuberculosis most frequently affecting the thoracolumbar spine and is commoner in young people. Onset of this condition is insidious and its clinical presentation is non specific. However, Pott’s disease may be complicated by neurologic deficits including paraplegia or even quadriplegia, with huge health, economic and psychological burden. Following is a case report of Pott’s disease involving the cervical spine in a 33-year old farmer presenting unusually with paraplegia and a negative Mantoux test. It is reported because this very uncommon condition is highly treatable, and there is need for a raised index of suspicion in order to diagnose this condition early, thus limiting its complications. The role of MRI in diagnosis of Pott’s disease is also highlighted.

KEYWORDS

Tuberculosis, Pott’s Disease, Spine, MRI, Hemiplegia

Share and Cite:

Okwudire, E. , Ezenwugo, U. , Ugwoegbu, J. , Okoro, C. and Isiozor, I. (2021) Atypical Presentation of Cervical Pott’s Disease: A Case Report. Journal of Tuberculosis Research, 9, 211-218. doi: 10.4236/jtr.2021.93020.

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