Pott disease causing cauda equina syndrome

Discussion:

The case was discussed with neurosurgeons, who elected for conservative management with a spine brace.

She was commenced on second line antibiotics for discitis and was referred to the regional infectious disease unit for further investigation. The causative agent was found to be Mycobacterium tuberculosis and this lady was commenced on a prolonged course of antimycobacterial therapy.

Extra-pulmonary manifestations of TB are less common than pulmonary presentations, but infiltration of the spine is well described in the literature and is known as Pott disease.

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