Espondilodiscitis tuberculosa en Cádiz (España) durante diez años

Background: Tuberculous spondylodiscitis is relatively uncommon but represents the most common location of osseous tuberculosis. Aim: To describe clinical features, imaging studies and laboratory tests to establish the diagnosis in a group of patients living in Cádiz (Spain). Material and Methods: R...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	LOZANO,MARÍA CARMEN, GARCÍA-AGUDO,LIDIA, MORENO,RAQUEL, CHOZAS,NICOLÁS, GARCÍA-MARTOS,PEDRO
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Discitis Spondylitis Tuberculosis osteoarticular
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010001100010
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872010001100010
record_format	dspace
spelling	oai:scielo:S0034-988720100011000102011-01-10Espondilodiscitis tuberculosa en Cádiz (España) durante diez añosLOZANO,MARÍA CARMENGARCÍA-AGUDO,LIDIAMORENO,RAQUELCHOZAS,NICOLÁSGARCÍA-MARTOS,PEDRO Discitis Spondylitis Tuberculosis osteoarticular Background: Tuberculous spondylodiscitis is relatively uncommon but represents the most common location of osseous tuberculosis. Aim: To describe clinical features, imaging studies and laboratory tests to establish the diagnosis in a group of patients living in Cádiz (Spain). Material and Methods: Retrospective analysis of medical records of patients with tuberculous spondylodiscitis diagnosed between 2000 and 2009. The diagnosis was based on microorganism recovery from vertebral samples obtained by imaging guided biopsies. Results: Six patients with positive Mycobac-terium tuberculosis cultures from vertebral samples, were identified (10% of extra-pulmonary tuberculosis). In only 2 patients the Ziehl-Nielsen stain was positive, and histology was compatible in 4 cases. Four patients were females, their mean age was 54.3 years and the mean duration of symptoms was 7.3 months. Three patients had lumbar location and a positive Mantoux test. A soft tissue abscess was present in 4 cases. None of these patients had neurological complications. The treatment with four tuberculostatic agents (isoniazid, rifampicin, pyrazinamide and ethambutol) was effective in 5 patients. Conclusions: Tuberculous spondylodiscitis may become a serious disease due to diagnostic and treatment delays. The main examinations to establish diagnosis are magnetic resonance imaging and biopsy with microbiological culture. Generally, antituberculous therapy is effective in this clinical situation.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.10 20102010-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010001100010es10.4067/S0034-98872010001100010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Discitis Spondylitis Tuberculosis osteoarticular
spellingShingle	Discitis Spondylitis Tuberculosis osteoarticular LOZANO,MARÍA CARMEN GARCÍA-AGUDO,LIDIA MORENO,RAQUEL CHOZAS,NICOLÁS GARCÍA-MARTOS,PEDRO Espondilodiscitis tuberculosa en Cádiz (España) durante diez años
description	Background: Tuberculous spondylodiscitis is relatively uncommon but represents the most common location of osseous tuberculosis. Aim: To describe clinical features, imaging studies and laboratory tests to establish the diagnosis in a group of patients living in Cádiz (Spain). Material and Methods: Retrospective analysis of medical records of patients with tuberculous spondylodiscitis diagnosed between 2000 and 2009. The diagnosis was based on microorganism recovery from vertebral samples obtained by imaging guided biopsies. Results: Six patients with positive Mycobac-terium tuberculosis cultures from vertebral samples, were identified (10% of extra-pulmonary tuberculosis). In only 2 patients the Ziehl-Nielsen stain was positive, and histology was compatible in 4 cases. Four patients were females, their mean age was 54.3 years and the mean duration of symptoms was 7.3 months. Three patients had lumbar location and a positive Mantoux test. A soft tissue abscess was present in 4 cases. None of these patients had neurological complications. The treatment with four tuberculostatic agents (isoniazid, rifampicin, pyrazinamide and ethambutol) was effective in 5 patients. Conclusions: Tuberculous spondylodiscitis may become a serious disease due to diagnostic and treatment delays. The main examinations to establish diagnosis are magnetic resonance imaging and biopsy with microbiological culture. Generally, antituberculous therapy is effective in this clinical situation.
author	LOZANO,MARÍA CARMEN GARCÍA-AGUDO,LIDIA MORENO,RAQUEL CHOZAS,NICOLÁS GARCÍA-MARTOS,PEDRO
author_facet	LOZANO,MARÍA CARMEN GARCÍA-AGUDO,LIDIA MORENO,RAQUEL CHOZAS,NICOLÁS GARCÍA-MARTOS,PEDRO
author_sort	LOZANO,MARÍA CARMEN
title	Espondilodiscitis tuberculosa en Cádiz (España) durante diez años
title_short	Espondilodiscitis tuberculosa en Cádiz (España) durante diez años
title_full	Espondilodiscitis tuberculosa en Cádiz (España) durante diez años
title_fullStr	Espondilodiscitis tuberculosa en Cádiz (España) durante diez años
title_full_unstemmed	Espondilodiscitis tuberculosa en Cádiz (España) durante diez años
title_sort	espondilodiscitis tuberculosa en cádiz (españa) durante diez años
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010001100010
work_keys_str_mv	AT lozanomariacarmen espondilodiscitistuberculosaencadizespanadurantediezanos AT garciaagudolidia espondilodiscitistuberculosaencadizespanadurantediezanos AT morenoraquel espondilodiscitistuberculosaencadizespanadurantediezanos AT chozasnicolas espondilodiscitistuberculosaencadizespanadurantediezanos AT garciamartospedro espondilodiscitistuberculosaencadizespanadurantediezanos
_version_	1718436532554039296

Espondilodiscitis tuberculosa en Cádiz (España) durante diez años

Ejemplares similares