[Tuberculosis of the spine and ribs].

Abstract

Tuberculosis of the spine or ribs is uncommon, occurring in less than 1% of patients with tuberculosis (TB). 2 women are presented who recently immigrated from Ethiopia and India, respectively. One, aged 55, presented with chest pain, fatigue and several masses under the skin of the scalp. Chest X-ray and CT scan suggested Pancoast tumor, and the lateral parts of the first 2 right ribs were absent. The origin of the patient, clinical findings and positive PPD suggested TB of the ribs and anti-TB therapy resulted in cure. The diagnosis was later confirmed by a positive culture. The other woman, aged 68, presented with fatigue, mild abdominal pain and axillary lymphadenopathy. The PPD was positive and X-ray showed widening of the mediastinum. A caseating granuloma with Langhans epithelioid cells was found in a lymph node. Flaccid paraparesis developed before therapy was started. CT scan showed a typical picture of TB affecting the T3-T6 vertebrae. Drainage of a cold abscess of the spine via the anterior approach was followed by anti-TB therapy. Culture of a biopsied lymph node and of pus obtained at operation confirmed the diagnosis of TB. The patient died 2 months later from gastrointestinal bleeding. Awareness of the unusual presentations of various forms of TB is mandatory in countries with immigration from countries in which TB is still common.

• Authors: R Wishnitzer, Z Landow, S Sagiv, M Rozenhack, A Eliraz
• Journal: Harefuah (Harefuah) Vol. 121 Issue 10 Pg. 360-3 (Nov 15 1991) ISSN: 0017-7768 [Print] Israel
• PMID: 1752549 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antitubercular Agents

Topics

• Aged
• Antitubercular Agents (therapeutic use)
• Diagnosis, Differential
• Emigration and Immigration
• Female
• Humans
• Israel
• Middle Aged
• Ribs
• Spinal Diseases (diagnosis, diagnostic imaging, therapy)
• Tomography, X-Ray Computed
• Tuberculosis, Osteoarticular (diagnosis, diagnostic imaging, therapy)