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[Spinal tuberculosis or bone metastases? Case report]

Tuberculosis remains one of the most important infectious disease worldwide and skeletal form has an incidence between 3% and 10%, depending on geographic area. The thoracolumbar junction is the most commonly involved in vertebral tuberculosis; some radiologic features are specifics, but other could be indistinguishable from that of lymphoma or metastases. We discuss the case of a 80-year-old man presented with a 2-month history of thoracolumbar pain, fatigability and fever. The vertebral radiography showed narrowing of the intervertebral disc space between T1 and T12, adjacent irregularity, erosion and lisis of vertebres, features visibles also on computed tomography. After the exclusion of the other causes of osteolisis, we started a standard regimen of tuberculostatic treatment and after one month of treatment the symptoms of patient improved noticeably. Other problems of diagnostic and treatment modalities of spinal tuberculosis are discussed

Keywords : Aged,80 and over,Antitubercular Agents,Bone Neoplasms,Diagnosis,Differential,diagnostic imaging,drug therapy,Fever,history,Humans,Incidence,Intervertebral Disc,Lumbar Vertebrae,Lymphoma,Male,Pain,Radiography,secondary,therapeutic use,Thoracic Vertebrae,Treatment Outcome,Tuberculosis,Tuberculosis,Spinal,, Tuberculosis,Or,Bone,Metastases?, zydol tablets what are they for

Date of Publication : 2010 Jan

Authors : ma-Cozma C;Mitu F;Rezus E;Arhire O;Petcu I;Grigoras C;Banu C;Cozma S;

Organisation : Universitatea de Medicina si Farmacie Gr. T. Popa Iasi, Facultatea de Medicina, Spitalul Clinic de Recuperare Iasi, Clinica Recuperare Cardiovasculara

Journal of Publication : Rev Med Chir Soc Med Nat Iasi

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20509287

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