scholarly journals Two cases of tuberculous spondylodiscitis: a rare manifestation of extrapulmonary tuberculosis

2017 ◽  
Vol 7 (1) ◽  
pp. 132-137
Author(s):  
José Antonio de Jesús Batún-Garrido ◽  
Marisol Salas-Magaña ◽  
Oscar Alejandro García-Padrón ◽  
Nicolás Valencia-Serrano
2020 ◽  
Author(s):  
Yuanhua Li ◽  
Suhuan Liao ◽  
Haijun Zuo ◽  
Wei Yang ◽  
Di Jiang

Abstract Background: Tuberculosis (TB) is a major health problem worldwide. Even in highly prevalent countries, primary gastroduodenal tuberculosis is a rare manifestation of extrapulmonary tuberculosis. In recent years, as the incidence of tuberculosis has increased year by year, the occur of gastroduodenal tuberculosis has also increased. Endoscopy is an important tool for diagnosing gastroduodenal tuberculosis. The performance of gastroduodenal tuberculosis under endoscopy is often non-specific, which may imitate other benign or malignant gastroduodenal diseases. Diagnosis of gastroduodenal tuberculosis relies on a combination of endoscopy and guided biopsy. Case presentation: Here, we report a rare and interesting case of gastroduodenal tuberculosis with acute pancreatitis. The case initially mimicked gastroduodenal ulcers in morphology and appeared in a middle-aged person with normal immunity but with prolonged fever and abdominal pain. The disease was diagnosed through endoscopy and guided biopsy, and it responded well to antituberculosis drugs. Conclusions: Clinicians must remember that even in the absence of immunodeficiency, as in this case, tuberculosis can affect any part of the gastrointestinal tract.


2018 ◽  
Vol 26 (6) ◽  
pp. 401-405
Author(s):  
Alex Oliveira de Araujo ◽  
Thiago Queiroz Soares ◽  
Alessandro Gonzalez Torelli ◽  
Allan Hiroshi de Araujo Ono ◽  
Raphael Martus Marcon ◽  
...  

ABSTRACT Objective: To describe a case of disseminated tuberculosis affecting the lumbar spine that was treated using a non-conventional anterior support system. Background: Tuberculous spondylodiscitis is the most common and most severe form of extrapulmonary tuberculosis. Although antibiotic therapy is the most frequently used treatment, surgery is necessary in cases of neurological deficit, spinal instability, significant deformity, severe sepsis, paravertebral and epidural abscesses or in cases wherein clinical treatment has failed. A surgical procedure is also indicated when a biopsy is required. With the development of new methods for reconstruction and fixation of the spine, complete debridement of the tuberculous foci has become an increasingly common approach, but there is a lack consensus on the best technique. Methods and results: The patient suffered from disseminated tuberculosis affecting the lumbar region of the spine, with an abscess in the psoas muscle. He underwent extensive debridement via both anterior and posterior approaches, using a non-conventional anterior support system that promotes hydrostatic distraction. Conclusions: Treatment using the hydrostatic distraction system was able to reestablish both the stability and anatomy of the lumbar curve. Level of evidence IV, Case report.


2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Yuanhua Li ◽  
Suhuan Liao ◽  
Haijun Zuo ◽  
Wei Yang ◽  
Di Jiang

Abstract Background Tuberculosis (TB) is a major health problem worldwide. Even in highly prevalent countries, primary gastroduodenal tuberculosis is a rare manifestation of extrapulmonary tuberculosis. In recent years, as the incidence of tuberculosis has increased year by year, the occur of gastroduodenal tuberculosis has also increased. Endoscopy is an important tool for diagnosing gastroduodenal tuberculosis. The performance of gastroduodenal tuberculosis under endoscopy is often non-specific, which may imitate other benign or malignant gastroduodenal diseases. Diagnosis of gastroduodenal tuberculosis relies on a combination of endoscopy and guided biopsy. Case presentation Here, we report a rare and interesting case of gastroduodenal tuberculosis with acute pancreatitis. The case initially mimicked gastroduodenal ulcers in morphology and appeared in a middle-aged person with normal immunity but with prolonged fever and abdominal pain. The disease was diagnosed through endoscopy and guided biopsy, and it responded well to antituberculosis drugs. Conclusions Clinicians must remember that even in the absence of immunodeficiency, as in this case, tuberculosis can affect any part of the gastrointestinal tract.


Author(s):  
Sivanes Chandrashekaran ◽  
Mohd Syukra bin Abd Ghani

Nasopharyngeal tuberculosis is indeed a rare manifestation of extrapulmonary tuberculosis. The general symptoms of nasopharyngeal tuberculosis are nasal obstruction, neck mass, epitaxis, rhinorrhoea, otalgia and hearing loss. Constitutional symptoms may present in almost 12-30% of nasopharyngeal tuberculosis cases, hence it often disguise as nasopharyngeal carcinoma in patients. Apart from that, most cases of nasopharyngeal tuberculosis usually occur with combined active pulmonary tuberculosis or systemic infection. Hereby presenting a case of nasopharyngeal tuberculosis in a lady who is otherwise healthy presented with neck mass for duration of two months with no obstructive symptoms. Upon proceeding with rigid nasal endoscopy, obliteration of fossa of rossenmuller was noted and biopsy confirmed tuberculosis. Patient was immediately started on antituberculosis therapy. Upon subsequent follow ups, resolution of the neck mass was noted. Hence, it is crucial to have a high index of suspiciousness to rule out nasopharyngeal tuberculosis as this is a curable disease and failure to do so can pave way for the deathly pathogen to disseminate in its host and cause mortality.


2020 ◽  
Vol 9 (1) ◽  
pp. 75
Author(s):  
PrateekKumar Panda ◽  
KSushrith Kumar Yadav ◽  
AmanKumar Agrawal ◽  
SebaRanjan Biswal ◽  
Pragnya Panda ◽  
...  

2018 ◽  
Author(s):  
Kursat Arslan ◽  
Ufuk Taner ◽  
Suleyman Cagan Efe ◽  
Burak Ayca ◽  
Turgut Karabag

Tuberculosis-associated pericardial disorders are an excessively rare manifestation of extrapulmonary tuberculosis. The patients may present with constrictive pericarditis or pericardial fluid accumulation leading to cardiac tamponade. This paper reports a case of tuberculosis-associated pericardial effusion with dense fibrinous material not causing tamponade in a foreigner presenting with nonspecific symptoms. It also provides a discussion about the diagnostic and therapeutic methods as well as interesting echocardiographic images of the patient.


Hand Surgery ◽  
2008 ◽  
Vol 13 (01) ◽  
pp. 37-40 ◽  
Author(s):  
Narikazu Toyokawa ◽  
Takeshi Kokubu ◽  
Hiroyuki Fujioka

Mycobacterial tuberculous tenosynovitis of the hand is a rare manifestation of extrapulmonary tuberculosis, while mycobacterial tuberculous tenosynovitis of the extensor tendon sheath is extremely rare. We report a case of tuberculous tenosynovitis of the extensor tendon of the finger, occurring in a man receiving immunosuppression following a liver transplantation. Symptoms improved clinically after conservative treatment with anti-tuberculous drugs.


2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Osman Bhatty ◽  
David Waters ◽  
Nicholas Wilka ◽  
Shradha Samuel ◽  
John Horne ◽  
...  

A 64-year-old Bangladeshi female presented to her primary care physician with a tender right breast lump that had been present for 4-5 days along with subjective fevers and malaise. Initial biopsy revealed granulomas, but Ziehl-Neelsen and Gram stain were negative for TB so antibiotics were prescribed for abscess until culture came positive for tuberculosis. She was started on triple therapy for extrapulmonary tuberculosis, an exceedingly rare presentation that requires high clinical suspicion in the Western world.


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