Spinal tuberculosis presenting with hip abscesses: a diagnostic challenge
Spinal tuberculosis is the most common manifestation of extra-pulmonary tuberculosis. It is difficult to diagnose the disease due to its insidious onset and non-specific clinical presentation. A high degree of suspicion and appropriate imaging studies are necessary for its early diagnosis and treatm...
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Published in | BMJ case reports Vol. 2014; p. bcr2014205569 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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24.09.2014
BMJ Publishing Group |
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Abstract | Spinal tuberculosis is the most common manifestation of extra-pulmonary tuberculosis. It is difficult to diagnose the disease due to its insidious onset and non-specific clinical presentation. A high degree of suspicion and appropriate imaging studies are necessary for its early diagnosis and treatment. The authors report a case of lumbosacral tuberculosis in an adult patient presenting with hip pain and abscesses. |
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AbstractList | Spinal tuberculosis is the most common manifestation of extra-pulmonary tuberculosis. It is difficult to diagnose the disease due to its insidious onset and non-specific clinical presentation. A high degree of suspicion and appropriate imaging studies are necessary for its early diagnosis and treatment. The authors report a case of lumbosacral tuberculosis in an adult patient presenting with hip pain and abscesses. |
Author | Araújo, Gabriel Costa Serrão de Ferreira Junior, Diógenes de Souza Escarso Junior, Lessandro da Rocha Gameiro, Vinícius Schott |
AuthorAffiliation | Universidade Federal Fluminense , Niterói, Rio de Janeiro , Brazil |
AuthorAffiliation_xml | – name: Universidade Federal Fluminense , Niterói, Rio de Janeiro , Brazil |
Author_xml | – sequence: 1 givenname: Gabriel Costa Serrão de surname: Araújo fullname: Araújo, Gabriel Costa Serrão de email: gabrieldearaujo@gmail.com – sequence: 2 givenname: Diógenes de Souza surname: Ferreira Junior fullname: Ferreira Junior, Diógenes de Souza email: gabrieldearaujo@gmail.com – sequence: 3 givenname: Lessandro da Rocha surname: Escarso Junior fullname: Escarso Junior, Lessandro da Rocha email: gabrieldearaujo@gmail.com – sequence: 4 givenname: Vinícius Schott surname: Gameiro fullname: Gameiro, Vinícius Schott email: gabrieldearaujo@gmail.com |
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Cites_doi | 10.1007/PL00011973 10.1016/j.spinee.2011.06.009 10.1007/s00264-011-1414-4 10.1177/02841851960373P215 10.1016/j.ejrad.2003.10.022 10.1007/s00586-012-2333-9 10.1007/s00296-011-2233-z 10.1016/j.spinee.2011.07.024 |
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Copyright | 2014 BMJ Publishing Group Ltd 2014 BMJ Publishing Group Ltd. Copyright: 2014 2014 BMJ Publishing Group Ltd 2014 BMJ Publishing Group Ltd 2014 |
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References_xml | – volume: 50 start-page: 120 year: 2004 article-title: Spinal infections publication-title: Eur J Radiol contributor: fullname: Tali – volume: 24 start-page: 8 year: 2001 article-title: Spinal tuberculosis (Pott's disease): its clinical presentation, surgical management, and outcome. A survey study on 694 patients publication-title: Neurosurg Rev contributor: fullname: Turgut – volume: 100 start-page: 229 year: 2014 article-title: Update on the surgical management of Pott's disease publication-title: Orthop Traumatol Sur Res contributor: fullname: Buy – volume: 22 start-page: 567 issue: (Suppl 4) year: 2013 article-title: Imaging findings of Pott's disease publication-title: Eur Spine J contributor: fullname: Torrents-Odin – volume: 36 start-page: 221 year: 2012 article-title: Tuberculosis of the spine. A systematic review of case series publication-title: Int Orthop contributor: fullname: Ayala Ramirez – volume: 37 start-page: 506 year: 1996 article-title: Imaging of tuberculosis. IV. Spinal manifestations in 63 patients publication-title: Acta Radiol contributor: fullname: Brismar – volume: 32 start-page: 3591 year: 2012 article-title: Vertebral osteomyelitis: eight years’ experience of 100 cases publication-title: Rheumatol Int contributor: fullname: Yilmaz – volume: 11 start-page: 726 year: 2011 article-title: One-stage surgical management for thoracic tuberculosis by anterior debridement, decompression and autogenous rib grafts, and instrumentation publication-title: Spine J contributor: fullname: Meng – volume: 8 start-page: 110 year: 2007 article-title: Spinal tuberculosis publication-title: J Indian Acad Clin Med contributor: fullname: Gupta – volume: 40 start-page: 109 year: 1993 article-title: Tuberculosis of bones & joints publication-title: Indian J Tuberc contributor: fullname: Sankaran – volume: 11 start-page: 734 year: 2011 article-title: Commentary: instrumentation in the treatment of spinal tuberculosis, anterior or posterior? publication-title: Spine J contributor: fullname: Luk – volume: 40 start-page: 109 year: 1993 ident: 2024051712182615000_2014.sep24_1.bcr2014205569.5 article-title: Tuberculosis of bones & joints publication-title: Indian J Tuberc contributor: fullname: Sankaran – volume: 8 start-page: 110 year: 2007 ident: 2024051712182615000_2014.sep24_1.bcr2014205569.2 article-title: Spinal tuberculosis publication-title: J Indian Acad Clin Med contributor: fullname: Chauhan – ident: 2024051712182615000_2014.sep24_1.bcr2014205569.7 doi: 10.1007/PL00011973 – ident: 2024051712182615000_2014.sep24_1.bcr2014205569.11 doi: 10.1016/j.spinee.2011.06.009 – ident: 2024051712182615000_2014.sep24_1.bcr2014205569.8 doi: 10.1007/s00264-011-1414-4 – volume: 100 start-page: 229 year: 2014 ident: 2024051712182615000_2014.sep24_1.bcr2014205569.10 article-title: Update on the surgical management of Pott's disease publication-title: Orthop Traumatol Sur Res contributor: fullname: Varatharajah – ident: 2024051712182615000_2014.sep24_1.bcr2014205569.9 doi: 10.1177/02841851960373P215 – ident: 2024051712182615000_2014.sep24_1.bcr2014205569.3 doi: 10.1016/j.ejrad.2003.10.022 – ident: 2024051712182615000_2014.sep24_1.bcr2014205569.1 – ident: 2024051712182615000_2014.sep24_1.bcr2014205569.4 doi: 10.1007/s00586-012-2333-9 – ident: 2024051712182615000_2014.sep24_1.bcr2014205569.6 doi: 10.1007/s00296-011-2233-z – ident: 2024051712182615000_2014.sep24_1.bcr2014205569.12 doi: 10.1016/j.spinee.2011.07.024 |
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SubjectTerms | Abscesses Adult Biopsy Diagnosis, Differential Fistula Humans Infections Lumbar Vertebrae Male Medical imaging Mycobacterium tuberculosis - isolation & purification Necrosis Psoas Abscess - diagnosis Psoas Abscess - etiology Psoas Abscess - microbiology Reminder of Important Clinical Lesson Sacrum South/Central America Surgery Tomography, X-Ray Computed Tuberculosis Tuberculosis, Spinal - complications Tuberculosis, Spinal - diagnosis White |
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Title | Spinal tuberculosis presenting with hip abscesses: a diagnostic challenge |
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