Tuberculous discitis, osteomyelitis and paravertebral abscess

Case contributed by A.Prof Frank Gaillard

Presentation

Chronic cough. Now presents with back pain and paraplegia.

Patient Data

Age: 45
Gender: Male

Some infiltrates in right lower lobe and right pleural effusion. A suspicious right paravertebral prominent density, not silhouetting with cardiac border, and probably a posterior mediastinal lesion. Difficult to comment on vertebrae.

Collapse and endplate destruction of mid thoracic vertebra with huge right paravertebral abscess.

Classical endplate destruction and affection og two contiguous vertebrae with paravertebral and epidural abscess, which gives cord compression.

Case Discussion

This case highlights the importance of looking for paravertebral shadows and vertebral endplates while seeing a pulmonary TB suspicion chest X-Ray. Patient is a proven case of TB osteomyelitis, discitis and paraspinal collection.

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Case information

rID: 6362
Case created: 11th Jun 2009
Last edited: 23rd Jul 2016
Tags: tb, spine
Inclusion in quiz mode: Included

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