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Tuberculosis Pott's Disease

Hiebenthal CTH - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Tuberculosis Pott's Disease

History: 56 y.o. woman with a history of tuberculosis as a child that was incompletely treated. She presents with low back pain and dry cough x 6 months.

Findings: There is a moderate amount of peritoneal fluid. Complete destruction of the L2 vertebral body and superior portion of the L3 vertebral body. There is retropulsion of a bony fragment into the spinal canal with severe spinal canal stenosis. Bilateral multiloculated psoas fluid collections are seen with rim enhancement. For the left psoas fluid collection, the largest pocket now measures 2.1 x 4.2 cm and is found at the level of L3-4. The right psoas fluid collection is again seen, measuring 4 x 1.8 cm in largest dimension, found at the L1-2 level.

Ddx: Trauma Neoplasm Pyogenic Osteitis of the spine

Dxhow: Acid Fast Culture

No MeSH data available.


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Tuberculosis Pott's Disease

Hiebenthal CTH - MedPix (2010)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2403&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Tuberculosis Pott's Disease

History: 56 y.o. woman with a history of tuberculosis as a child that was incompletely treated. She presents with low back pain and dry cough x 6 months.

Findings: There is a moderate amount of peritoneal fluid. Complete destruction of the L2 vertebral body and superior portion of the L3 vertebral body. There is retropulsion of a bony fragment into the spinal canal with severe spinal canal stenosis. Bilateral multiloculated psoas fluid collections are seen with rim enhancement. For the left psoas fluid collection, the largest pocket now measures 2.1 x 4.2 cm and is found at the level of L3-4. The right psoas fluid collection is again seen, measuring 4 x 1.8 cm in largest dimension, found at the L1-2 level.

Ddx: Trauma Neoplasm Pyogenic Osteitis of the spine

Dxhow: Acid Fast Culture

No MeSH data available.