Pott’s disease in upper thoracic vertebrae in a two-year-old boy: case report

Authors

  • Nathaly Cortez-Bazán Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. Médico cirujano
  • Jennifer R. Delgado Facultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú. Médico cirujano
  • Omar Galdos Servicio de Pediatría. Instituto Nacional de Salud del Niño. Lima, Perú. Médico cirujano
  • Luis Huicho Facultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú. Centro de Investigación para el Desarrollo Integral y Sostenible, Universidad Peruana Cayetano Heredia. Lima, Perú. Médico cirujano

DOI:

https://doi.org/10.17843/rpmesp.2018.351.3564

Keywords:

Tuberculosis, spinal, Diagnosis, Treatment, Child, Preschool

Abstract

Pott’s disease is a health problem in developing countries and its diagnosis in children is a challenge. Here we present the case of a two-year-old boy with Pott’s disease involving T1 to T3 thoracic vertebrae. The clinical presentation was characterized by difficulty walking, fever, cough, and dyspnea. At physical examination, kyphosis and bony prominence were observed in the cervicodorsal area. A positive tuberculin test was obtained, and Mycobacterium tuberculosis was isolated via culture of the gastric aspiration sample. The spine MRI showed a chronic abscess, destruction of two vertebrae, and bone marrow compression. The patient experienced some improvement with anti-TB therapy. Here, we emphasize the importance of giving consideration to the clinical suspicion for the early detection of this condition, as well as a quick TB-treatment start so as to avoid the disability and mortality associated to this disease.

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Published

2018-03-23

Issue

Section

Case Report

How to Cite

1.
Cortez-Bazán N, Delgado JR, Galdos O, Huicho L. Pott’s disease in upper thoracic vertebrae in a two-year-old boy: case report. Rev Peru Med Exp Salud Publica [Internet]. 2018 Mar. 23 [cited 2024 Jun. 20];35(1):150-4. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/3564

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