Pott disease with a large cold abscess

Case contributed by Dr Gustavo Aguiar


Back pain and swelling. History of pulmonary tuberculosis in treatment.

Patient Data

Age: 30 years
Gender: Male

There are a T2-T3 inflammatory process involving the vertebral end plates and bodies with a kyphotic deformity. A large multiloculated thick-walled abscess (cold abscess) extending from para-spinal regions to the posterior aspect of the chest, as a consequence of the spondylodiskitis, is also noted.

Case Discussion

Pott disease is a common cause of spondylodiskitis. Formation of a cold abscess around the vertebral lesion is a characteristic. Cold abscess takes the path of least resistance along the natural fascial planes and can grow to a very large size. 

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Case information

rID: 70433
Published: 19th Aug 2019
Last edited: 21st Aug 2019
Inclusion in quiz mode: Included
Institution: Clínica Villas Boas

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