Pott disease

Case contributed by Dr Ahmed Abd Rabou

Presentation

Fever, neck rigidity and dysphagia of 2 weeks duration. The patient had night sweats and fever, a productive cough and dyspnea over the past 2 years.

Patient Data

Age: 30-35 years old
Gender: Female
MRI

Complete collapse of C7 vertebra with a resultant vertebral plana and localized gibbus deformity. Associated loss of C6-7 disc and prevertebral fluid collection with enhancing margin are noted suggesting a prevertebral abscess. C6 vertebra shows extensive marrow edema.

Diagnosis: Tuberculous spondylodiscitis (Pott's disease)

Case Discussion

The patient is known to have pulmonary tuberculosis. Spinal affection occurs via hematogenous route and it usually starts within the vertebral body. Infection may spread under the anterior longitudinal ligament and ascend/descend to involve other distant vertebrae. Differential considerations include pyogenic spondylodiscitis and brucellosis.
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Case information

rID: 25932
Case created: 16th Nov 2013
Last edited: 5th Mar 2016
Inclusion in quiz mode: Included

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