The study included 43 patients with potts paraplegia, managed conservatively. Spinal tuberculosis is rare in the uk but in developing countries it represents about 50% of musculoskeletal tuberculosis. We report an unusual case of cervical spondylodiscitis and epidural abscess mimicking potts disease. Workup revealed a paravertebral abscess due to potts disease, a skeletal manifestation of mycobacterium tuberculosis disease. However, there was controversy about potts treatise on this disease of the spine, because a dissertation on the same theme had been presented in 1778 by the french surgeon, jeanpierre david, for a prize offered by the royal academy of surgery in paris. Pott s disease of the spine or pott s syndrome has many synonyms. Lastly the instrumentation was used in 3 patients with pott s disease. Abstract the following is a final development, from a series of studies, on the application of osteoplasty in the treatment of pott s disease of the spine. Potts disease may cause late neurological involvement due to development of sharp kyphosis. We report two cases of suspected tuberculous spondylitis diagnosed through xpert mtbrif in urine samples from a rural tanzanian hospital. Full text full text is available as a scanned copy of the original print version. A 4yearold boy was admitted to our district hospital, in the southern region of mozambique, with a 3month history of night fevers, night sweats, a nonproductive cough, weight loss, neck swelling, backache, and a progressive deformity of his back.
Potts disease ncp free download as powerpoint presentation. Pdf on apr 6, 2014, saranapoom klomjit and others published potts. Tuberculosis tb of the spine potts disease is the commonest and most dangerous form of skeletal tb. Pott s disease is usually located in the thoracic, or upper, spine. Potts disease definition of potts disease by merriam.
Spinal tuberculosis in children is uncommon, even more so in cases of involvement of posterior vertebral elements, and its diagnosis. Evaluation of potts disease with computed tomography. Find powerpoint presentations and slides using the power of, find free. Doctors dont know exactly what causes pots, but episodes seem to begin after trauma, major surgery, a viral illness, just before. Potts disease is also known as tuberculosis spondylitis or spinal tuberculosis. Cureus case of potts disease in a 17yearold patient. Potts disease in children surgical neurology international. Potts disease free download as powerpoint presentation. Due to its low incidence, this could be easily misdiagnosed. Paraplegia and kyphotic deformity are two major diseaserelated problems of spinal tuberculosis, especially in the early age disease.
The area usually affected is the anterior aspect of the vertebral body adjacent to the subchondral plate. Pott, tuberculosis, spine, children, neurologic, orthopedic. Case reports of two women with tuberculosis tb of the spine potts disease presenting with severe back pain and diagnosed as. We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. Potts disease is a type of tuberculosis which mainly manifests itself through certain complications in the vertebral bones. Abstract deformity, abscess, and paraplegia are the only complications of potts disease occurring with sufficient frequency to merit especial consideration. The incidence of tuberculosis is increasing in both the developing and the developed countries. Pott disease this is a pathological condition of the spine where a bacterial infection commonly known to cause tuberculosis gets lodged in the spine. Trends in spinal surgery for potts disease 20002016. Ntm are present in the environment, may be especially prevalent in tap water, and rarely cause osteomyelitis.
Pot syndrome pots, postural orthostatic tachycardia syndrome is a heart condition that involves the bodys blood vessels. Paraplegia and spinal deformity in a mozambican child with. Although tuberculosis is endemic in developing countries, such as dominican republic, potts disease is rarely seen, only representing 1% of the total cases. Tuberculous spondylitis potts disease is an ancient human disease. In 1779, percivall pott, for whom the disease is named, presented the classic description o. I discussed the potts disease vertebral tuberculosis or tb cause, symptoms, pathology and the treatment. The basic lesion is a combination of osteomyelitis and arthritis. Pott disease, also called tuberculous spondylitis or tuberculosis of the spine, disease caused by infection of the spinal column, or vertebral column, by the tuberculosis bacillus, mycobacterium tuberculosis. Learn all about pott s disease of the spine, on our pott s disease of the spine page. Update on the surgical management of potts disease. We report a case of a 17yearold male with a history of pleural effusion that. Symptoms include stiffness of the back, pain on motion, prominence of the spinous.
Percival pott was the first person to present the classic description of spinal tuberculosis tb in 1779. Pott disease tuberculous spondylitis statpearls ncbi bookshelf. It affects the spine in up to 50% of all osteoarticular tuberculosis patients. Scribd is the worlds largest social reading and publishing site. View and download powerpoint presentations on pott s disease ppt. This article is from journal of community hospital internal medicine perspectives, volume 2. Three patients had single level vertebral involvement, while five others showed multilevel involvement. The authors studied the immediate and longterm outcome after transoral decompression, occipitocervical stabilization with fusion and antitubercular therapy att in patients who had neurological deficits due to craniovertebral junction cvj tuberculosis. Clinical presentation of potts disease of the spine in adult. Potts disease definition of potts disease by medical. A high index of suspicion is required for potts disease, which occurs in fewer than 1 percent of patients with tuberculosis, often presents with nonspecific symptoms, and may result in permanent deformity or. The role of surgery in the management of potts disease in. Potts disease is defined as vertebral involvement of extrapulmonary tuberculosis, and the insidious course of the disease often causes a delay in getting to a timely diagnosis that is not made prior to rising signs, such as large abscess, neurological impairment or vertebral fractures.
From a physiopathological perspective, neurological structures are contained in a rigid framework of bone the spinal canal. Download the pdf to view the article, as well as its associated figures and tables. The disease is named after percivall pott 17141788, a british surgeon. Symptoms include lightheadedness and fainting when standing from a seated or lying position. The pathogenesis of potts disease pubmed central pmc. The morbidity and mortality rate due to spinal tb is higher than other infections in developing. Potts disease, or spinal tuberculosis, is caused by the pathogen mycobacterium tuberculosis. Spinal involvement which commonly originates from the lungs occurs in less than 1% of patients with tb. A fatal case of spinal tuberculosis mistaken for metastatic lung. Thank you for your interest in spreading the word about the bmj. Prognosis of conservatively treated patients with potts.
Pott disease, or potts disease, is a form of tuberculosis that occurs outside the lungs whereby disease is seen in the vertebrae. Tuberculosis can affect several tissues outside the lungs including the spine, a kind of tuberculous arthritis of the intervertebral joints. Because it is rare in highincome, tuberculosis tb low incidence. Potts disease, called as spinal tuberculosis tb, is the most common but the most dangerous form of extrapulmonary infection in tb disease. The diagnosis of potts spine was based on clinical, magnetic resonance. Potts disease is known as spinal involvement of extrapulmonary tuberculosis, and the insidious course of the rare disorder often causes a delay in getting to a timely diagnosis that is not made prior to rising signs, such as large abscess, neurological impairment or vertebral fractures. Anterior decompression and fusion is the treatment of. Severe back pain is the most common indication that the tb. Keywords spinal tuberculosis, spine, potts disease, surgical treatment introduction tuberculosis tb affecting the human bones and joints has a long historical background.
Urine testing using xpert mtbrif reflects disseminated disease and renal involvement, and may offer a feasible additional diagnostic approach for potts disease in rural africa. A 67yearold man was admitted to our institution with a 15day history of neck pain radiating to the head, shoulders and left arm that was associated with weakness and paresthesia. Advanced imaging techniques such as magnetic reso nance imaging mri make the early diagnosis of spinal. In seven of eight cases, paraspinal soft tissue involvement was seen. Pott disease is characterized by softening and collapse of the vertebrae, often resulting in a hunchback curvature of the spine. Potts disease treatment and pathology and the real case. Pott disease tuberculous tb spondylitis differential. Potts disease of the craniovertebral junction is extremely rare. Tuberculous spondylitis diagnosed through xpert mtbrif. Abstract the following is a final development, from a series of studies, on the application of osteoplasty in the treatment of potts disease of the spine. The different anatomical locations where this process can occur include vertebrae. Although it is primarily a lung disease, some of the tissues present outside the lungs are also affected. Nine months later, the patient presented to our hospital with abdominal pain, vomiting and b symptoms. If erosion continues unchecked, there is complete destruction of the affected vertebrae.
Pott disease, also known as tuberculous spondylitis, is one of the oldest demonstrated diseases of humankind, having been documented in spinal remains from the iron age in europe and in ancient mummies from egypt and the pacific coast of south america. Abstractpotts disease is an infection of the spine with. Get a printable copy pdf file of the complete article 2. In two, the process caused neurologic symptoms by extending into the epidural space. Potts disease of spine is the most dangerous form of skeletal tb as it may lead to bone destruction, deformity, and paraplegia. No actions were undertaken, until 6 months later, an xray showed prominent hilar enlargement. Pott disease tuberculous tb spondylitis medication. Potts disease definition is tuberculosis of the spine with destruction of bone resulting in curvature of the spine. Thus surgery should be considered as a therapeutic option in the management of potts disease, even though for al kalita et al. He noted this as a painful kyphotic deformity of the spine associated with paraplegia. Pot syndrome causes, symptoms, treatments, and diets. Lastly the instrumentation was used in 3 patients with potts disease.
Pathophysiology pott disease is usually secondary to an extraspinal source of infection. Tuberculosis of the spine potts disease presenting as. It usually develops when the local immune responses of the host are compromised or overwhelmed by the tubercular bacilli. To evaluate the prognostic significance of various clinical, radiological, and neurophysiological findings in conservatively treated patients with potts paraplegia, using multiple regression analysis.
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