Tuberculous diskitis, 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

Frontal and lateral chest x-rays demonstrate 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, diskitis and paraspinal collection.

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Case information

rID: 6362
Published: 11th Jun 2009
Last edited: 18th Mar 2019
Tag: tb, spine
Inclusion in quiz mode: Included

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