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Pott's Disease

Smirniotopoulos, M.D. JGSM - MedPix (2014)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pott's Disease

History: A 25 y.o. man presents with five days of fever and right-sided pleuritic chest pain. PMH: A positive PPD test in 1998 upon returning home from duty aboard the USS ----. Chest x-ray at that time was negative and the patient received no further treatment. After an MVC earlier in 1999 he sustained right sided chest trauma, but recovered fully. He stated he was in good health until August 1999, while aboard the USS ---- when he presented to Sick Call.

Findings: Mid thoracic paraspinal mass

Ddx: Lymphoma Paraspinal Abscess Metastasis Neuroblastoma (in a child)

Dxhow: Microbiology and culture

Exam: A chest x-ray revealed a RLL effusion and RLL consolidation; he was diagnosed with pneumonia and treated with azithromycin and recovered. He stated he had a negative PPD in September 1999.

No MeSH data available.


The paraspinal mass (shaded area) can be seen in images 79-89, showing vertebral destruction as well.  The mass wraps completely around the vertebrae as it is followed down in the images.  It is evident on these images that the abscess has not invaded the vessels.
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MPX1925_synpic59879: The paraspinal mass (shaded area) can be seen in images 79-89, showing vertebral destruction as well. The mass wraps completely around the vertebrae as it is followed down in the images. It is evident on these images that the abscess has not invaded the vessels.


Pott's Disease

Smirniotopoulos, M.D. JGSM - MedPix (2014)

The paraspinal mass (shaded area) can be seen in images 79-89, showing vertebral destruction as well.  The mass wraps completely around the vertebrae as it is followed down in the images.  It is evident on these images that the abscess has not invaded the vessels.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1925&req=5

MPX1925_synpic59879: The paraspinal mass (shaded area) can be seen in images 79-89, showing vertebral destruction as well. The mass wraps completely around the vertebrae as it is followed down in the images. It is evident on these images that the abscess has not invaded the vessels.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pott's Disease

History: A 25 y.o. man presents with five days of fever and right-sided pleuritic chest pain. PMH: A positive PPD test in 1998 upon returning home from duty aboard the USS ----. Chest x-ray at that time was negative and the patient received no further treatment. After an MVC earlier in 1999 he sustained right sided chest trauma, but recovered fully. He stated he was in good health until August 1999, while aboard the USS ---- when he presented to Sick Call.

Findings: Mid thoracic paraspinal mass

Ddx: Lymphoma Paraspinal Abscess Metastasis Neuroblastoma (in a child)

Dxhow: Microbiology and culture

Exam: A chest x-ray revealed a RLL effusion and RLL consolidation; he was diagnosed with pneumonia and treated with azithromycin and recovered. He stated he had a negative PPD in September 1999.

No MeSH data available.