Tuberculosis Spondylitis (Pott’s Disease) in Iran, Evaluation of 40 Cases

AUTHORS

Frahad Abbasi 1 , Mehdi Besharat 2 , *

1 Bushehr University of Medical Sciences, Bushehr, IR Iran

2 Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti Medical University, Tehran, IR Iran

How to Cite: Abbasi F, Besharat M. Tuberculosis Spondylitis (Pott’s Disease) in Iran, Evaluation of 40 Cases, Arch Clin Infect Dis. 2011 ; 6(Suppl):e93422.

ARTICLE INFORMATION

Archives of Clinical Infectious Diseases: 6 (Suppl); e93422
Published Online: November 30, 2011
Article Type: Letter
Received: May 12, 2019
Accepted: November 30, 2011

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Abstract

Objective: Because of increased incidence of tuberculosis (TB) in recent years, infective spondylitis is still a major problem in the world. Symptoms of spinal TB are often nonspecific, and clinicians should be aware of this entity.

Patients and Methods: In this study, epidemiologic aspects, clinical manifestations, laboratory tests and radiologic studies of cases with documented tuberculosis spondylitis in Loghman Hospital were evaluated.

Results: Of our patients, 25 (62.5%) were men and 15 (37.5%) were women. The oldest was 77 and the youngest was 17 years old. Average of age was 47 years. Involved vertebras were as follow: cervical 10%, thoracic 37.5%, thoracolumbar 27.5% and lumbar 25%. Accompanying diseases were pulmonary TB (72%), TB pleural effusion (18%), paraspinal abscess (18%) and renal TB (2.5%). Clinical manifestations were back pain in 100%, anorexia in 100%, fever in 90%, cough in 53% and limb paralysis in 2.5% of patients. Erythrocyte sedimentation rate between 80-125 mm/h was detected in 40%, between 50-79 mm/h in 35%, between 20-49 mm/h in 15% and less than 20 mm/h in 10% of patients.

Conclusion: Prompt diagnosis and treatment of skeletal TB are important to prevent serious bone and joint destruction and severe neurologic sequels.

Keywords

tuberculosis spondylitis Pott’s disease

© 2011, Archives of Clinical Infectious Diseases. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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