Volume 27, Issue 134, April 2023

Tuberculosis of spine: A rare presentation case report and treatment protocol

Gunjan Pandey¹, Ashna Mohanan¹, Sohael M Khan², Venkatesh Dasari^3♦, Ratnakar Ambade⁴, Rameez Bukhari³

¹Medical Intern, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India
²Associate Professor, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India
³Assistant Professor, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India
⁴Professor, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India

^♦Corresponding author
Assistant Professor, Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India
ORCID: 0000-0002-3551-869X

ABSTRACT

Tuberculosis is endemic to India, still spinal tuberculosis accounts for less than 1% of total TB cases and less than 10% of extrapulmonary TB. This disease is rare and therefore can be easily misdiagnosed. The clinical presentation of Pott’s spine is dependant of the stage of the disease. It is usually non-specific, insidious in onset and gradually progressive. Spinal tuberculosis treatment depends on the neuro-charting status of the patient. Presence of significant neurological deficit is an indication for surgery or else conservative treatment can be opted for. In this case report we present the case of a middle-aged man with symptoms mimicking prolapsed lumbar intervertebral disc with neurological deficit. Due to progressive neurology, the patient was managed with emergency surgery.

Keywords: Tuberculosis, spine, lumbar, tb, potts

Medical Science, 2023, 27, e178ms2833

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DOI: https://doi.org/10.54905/disssi/v27i134/e178ms2833

Published: 03 April 2023