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Pott disease, column instrumentation: report of a case (Instrumentación de columna, en Mal de Pott: a propósito de un caso)

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Author(s): Carpio-Deheza Gonzalo | García-Angelo René

Journal: Revista Médico-Científica “Luz y Vida”
ISSN 2219-8032

Volume: 1;
Issue: 1;
Start page: 46;
Date: 2010;
Original page

Keywords: Spinal tuberculosis | Pott disease.

ABSTRACT
Less than 1 % of patients with miliary tuberculosis has vertebral tuberculosis or also called Pott Disease. The most important symptomatology is pain, limited function and muscular contracture. When illness is ad- vanced, it presents dorsal hump and neurologic affectation. Now, we present the case of 34 years old feminine patient whom seven months before, she presented pulmonary tuberculosis as a past health with lumbar pain and paresthesia of inferior members such as symptoms. Image studies develop morfophology alterations since T10 to T12. At the beginning, she was treated with Rifampin-Isoniazid-Pyrazinamide-Etambutol, then, she had column instrumentation with a favorable evolution. La tuberculosis vertebral o Mal de Pott, ocurre en menos de 1% de los pacientes, con Tuberculosis Extrapulmonar. Los datos clínicos más comunes son: dolor, limitación funcional, y contractura muscular. En etapas avanzadas presenta una giba dorsal, y alteraciones neurológicas. Ahora presentamos el caso de una paciente femenina de 34 años, con antecedentes de tuberculosis pulmonar de +/- 7 meses atrás, dentro la sintomatología presentada por la misma, se encuentra: dolor lumbar y parestesia en miembros inferiores. La imagenología revela alteraciones morfológicas desde T10-T12. Ha recibido tratamiento médico con RHZE, y posteriormente instrumentación de la columna, presentando una evolución favorable.
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