TUBERCULOUS SPONDYLITIS IN A 20 YEARS-OLD MAN WITH PULMONARYLESIONS: A CASE REPORT

Authors

  • Selly Firdausi Nuzulah Department of Pulmonology and Respiratory Medicine, Dr. Ramelan Naval Hospital, Surabaya, Indonesia Author
  • RikeAndy Wijaya Department of Pulmonology and Respiratory Medicine, Dr. Ramelan Naval Hospital, Surabaya, Indonesia Author
  • Jan Arif Kadarman Department of Pulmonology and Respiratory Medicine, Dr. Ramelan Naval Hospital, Surabaya, Indonesia Author

DOI:

https://doi.org/10.61841/9y2ezv21

Keywords:

Tuberculous Spondylitis, Extrapulmonary Tuberculous, Mycobacterium tuberculosis, Pott's disease

Abstract

Introduction: Tuberculosis caused by Mycobacterium tuberculosis (Acid-Fast Bacilli/AFB) the disease infects the lungs (pulmonary tuberculosis), but it can also infect other organs (extrapulmonary tuberculosis). Tuberculous spondylitis or Pott's disease is an infection of Mycobacterium tuberculosis in the vertebrae (extrapulmonary tuberculosis). The early diagnosis of tuberculous spondylitis is difficult and often confused with spinal neoplasms or other pyogenic spondylitis.

Case presentation: Our patient admitted to Dr. Ramelan Navy Hospital Surabaya with the chief complaint of bump in the lower right back since 4 months before entering the hospital, the bump felt painful (and a Wong- Baker pain scale of 4) when coughing and when touched, lump palpable with a soft consistency and12 cm in diameter. Patient can move their legs freely and there are no limitations on the patient's range of motion. Defecate and urinate within normal limits. This patient has demonstrated a stable deformity with severe kyphosis with a 27% sagittal angulation without any neurological deficits.

Conclusions: This report highlights to clinicians the value of a high index of suspicion and careful history taking in tuberculous spondylitis; and how a combination of nonspecific findings helped reach an early diagnosis. Because the clinical manifestations of TB spondylitis differ, various methods, including thoracolumbosacral X-ray and MRI with contrast, are required to confirm the disease. As a result, aninterdisciplinary collaborative team is required to achieve optimal patient outcomes and to prevent long-term sequalae.

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Published

2024-06-14

How to Cite

Nuzulah, S. F., Wijaya, R., & Kadarman, J. A. (2024). TUBERCULOUS SPONDYLITIS IN A 20 YEARS-OLD MAN WITH PULMONARYLESIONS: A CASE REPORT. Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425), 10(6), 88-94. https://doi.org/10.61841/9y2ezv21

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