Severe back pain is the most common indication that the tb. Case study on multiple tuberculomas, potts spine with pulmonary kochs mohammad gayoor khan, umama yezdani, aarti singh kushwah page. Diagnostic imaging modalities and technology advancements. 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. Scribd is the worlds largest social reading and publishing site. Potts spine free download as powerpoint presentation. Pott disease this is a pathological condition of the spine where a bacterial infection commonly known to cause tuberculosis gets lodged in the spine. Tuberculosis of the spine is one of the oldest diseases afflicting humans. It is most often spread from the lungs via the blood. Potts disease definition of potts disease by merriamwebster. Potts disease of the spine may mimic other disease processes, and thus a definite list of differential diagnosis should be kept in mind before proceeding with specific treatment. If it infects the spine, it causes potts disease, which involves curvature of the spine.
Article potts disease of the spine applied radiology. A 68yearold woman presented with a 15day history of pain in the lumbar spine, dry cough, lowgrade fever, and asthenia. Miliary tuberculosis with vertebral involvement potts. Download pdf 400kb view article ideas and technical innovations. It causes a kind of tuberculous arthritis of the intervertebral joints. There is a combination of osteomyelitis and infective arthritis. In 1782, sir percival pott described spinal tb and surgical treatment of paravertebral abscess.
Nov 19, 2012 pott s spine or pott s disease is actually tuberculosis of vertebrae, it is of four types, paradiscal tyoes, central type, anterior and posterior type, in xray of spine in lateral view you can. English poets alexander pope and william ernest henley both had pott s disease. If it infects the spine, it causes potts disease, which involves ppt. Destructive processes involving t11 and t12 with associated kyphosis of the thoracic spine. To evaluate the prognostic significance of various clinical, radiological, and neurophysiological findings in conservatively treated patients with potts paraplegia, using multiple regression analysis. Delayed diagnosis is common and patients treated with antitb chemotherapy alone or with simple surgical. Pott s disease is named after a surgeon from london, percival pott 17141788. The child responded to conservative treatment with. Although tuberculosis is endemic in developing countries, such as dominican republic, potts disease is rarely seen, only representing 1% of the total cases. Jun 17, 2019 pott disease this is a pathological condition of the spine where a bacterial infection commonly known to cause tuberculosis gets lodged in the spine. Pott s spine free download as powerpoint presentation. Potts disease definition is tuberculosis of the spine with destruction of bone resulting in curvature of the spine. Jocelin, the dean who wanted a spire on his cathedral in william golding s the spire probably had and died as a result of this disease.
Patients were grouped according to timing of their second mri. 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. Figure 5 50 year old male patient presented with neck pain and weakness in the bilateral upper limbs. The incidence of tuberculosis is increasing in both the developing and the developed countries. Thoracic spine mri demonstrates a kyphotic deformity involving the thoracolumbar region secondary to the. The diagnosis of potts spine was based on clinical, magnetic resonance imaging, and. Due to its low incidence, this could be easily misdiagnosed. Case reports of two women with tuberculosis tb of the spine potts disease presenting with severe back pain and diagnosed as compression fracture are described. Mr images showed typical lesion involving the contiguous vertebral end plates of c4 and c5, and intervening disk with disk space narrowing. Tuberculosis of the spine potts disease presenting as. European spine journal, volume 22, issue 4 springer.
Potts disease, or spinal tuberculosis, is caused by the pathogen mycobacterium tuberculosis. Koch s spine or spinal tuberculosis is the most important skeletal presentation of the disease. Abstractpotts disease is an infection of the spine with. The study included 43 patients with potts paraplegia, managed conservatively. It affects the spine in up to 50% of all osteoarticular tuberculosis patients. Neurological recovery after early decompression for dorsal. The child responded to conservative treatment with antituberculous treatment and ultrasonographically guided percutaneous drainage of the abscesses. Chest xray revealed a bilateral interstitial pattern, and computed tomography ct of the chest and abdomen showed multiple uniform nodules of around 1 mm in size, with diffuse, bilateral, random distribution, predominantly in the upper lobes, and loss of vertebral height. The lower thoracic region is the most common area of involvement at 40 to 50% followed closely by lumbar spine at 35 to 45%. Pdf spinal tuberculosis tb or pott s spine is the commonest extrapulmonary manifestation of tb. Tuberculosis tb is an important cause of morbidity and mortality and the peoples republic of china has the second highest incidence of tb worldwide. The treatment of potts disease, or humpback, by immobilization of the diseased joints has long been the accepted method and is accomplished by various mechanical means, such as braces, plasterofparis jackets, etc.
Although it is primarily a lung disease, some of the tissues present outside the lungs are also affected. We report a case of a 17yearold male with a history of pleural effusion that. Tuberculosis spondylitis or potts disease is one of the extrapulmonary manifestations of tuberculosis. The source of infection is usually outside the spine. Remarks on that kind of palsy of the lower limbs, which is frequently found to accompany a curvature of the spine. Potts disease definition of potts disease by merriam. Download the pdf to view the article, as well as its associated figures and tables. The morbidity and mortality rate due to spinal tb is higher than other infections in developing.
Potts paraplegia in patients with severely deformed dorsal. Potts disease in children surgical neurology international. Spinal tuberculosis is estimated to occur in 15% of all tuberculosis cases. The condition is named after an english surgeon, sir. Potts paraplegia in patients with severely deformed. Although uncommon in the western world, the reported cases are usually linked to immigrants from endemic areas and acquired immune deficiency syndrome 1,2. This is a temporary file and hence do not link it from a website, instead link the url of this page if you wish to link the pdf file. 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. That much success has been obtained by these means there is no question. To document magnetic resonance imaging mri changes in potts spine and to correlate these with clinical findings and outcome. It constitutes about 50% of the musculoskeletal tuberculosis. Prognosis of conservatively treated patients with potts.
Potts disease with severe kyphosis has been documented in egyptian mummies. Mar 23, 2002 however, there was controversy about pott s 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. The treatment of pott s disease, or humpback, by immobilization of the diseased joints has long been the accepted method and is accomplished by various mechanical means, such as braces, plasterofparis jackets, etc. While accounting for 50 % of the cases of extrapulmonary musculoskeletal tuberculosis, potts disease affects. Cureus case of potts disease in a 17yearold patient in. 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. View and download powerpoint presentations on pott s spine ppt.
This is also caused tuberculous spondylitis if it infects the skin. Drug resistance patterns in 111 cases of drugresistant tuberculosis spine. Jan 03, 2018 12 bad habits that can damage your kidneys, lead to chronic kidney disease or kidney failure duration. We describe a 4yearold boy with potts disease of the lumbar spine and bilateral psoas abscesses, who was treated successfully with antituberculous therapy and ultrasonographically guided percutaneous drainage of the psoas abscesses. This article is from journal of community hospital internal medicine perspectives, volume 2. Potts disease, also known as tuberculosis spondylitis, is a rare infectious disease of the spine which is typically caused by an extraspinal infection. The following lesions should be considered and ruled outatypical mycobacterial or nontuberculous infectionspyogenic, fungal, hydatid, etc. Potts paraplegia resulting in severe spinal deformity is a disastrous complication, which is difficult to treat by chemotherapy alone andor by surgical decompression.
We are committed to provide fast and quality service for the scholarly community. Pott s disease is usually located in the thoracic, or upper, spine. Spinal tb is the most common form of extrapulmonary tb, and accounts for nearly half of all musculoskeletal tb cases. Patients with potts spine having more than one set of mri were included in the study. A high index of suspicion is required for pott s disease, which occurs in fewer than 1 percent of patients with tuberculosis, often presents with nonspecific symptoms, and may result in permanent deformity or. Journal of obstetric anaesthesia and critical care. Potts disease definition and meaning collins english. Anaesthesia for surgical decompression of potts spine in second trimester of pregnancy with lung isolation technique. Early diagnosis of spinal tuberculosis sciencedirect. Tuberculosis of the spine was first described in 1779 by the british surgeon, percival pott.
He noted this as a painful kyphotic deformity of the spine associated with paraplegia. Tuberculosis spondylitis or potts disease is the most. Potts disease is a type of tuberculosis which mainly manifests itself through certain complications in the vertebral bones. Find powerpoint presentations and slides using the power of, find free presentations research about pott s spine ppt. Farther remarks on the useless state of the lower limbs. The alliteration of the name has probably done more for the prominence of this disorder than its clinical importance. We describe a 4yearold boy with potts disease of the lumbar spine with bilateral psoas abscesses. Vertebral column decancellation in potts deformity. Pott s disease definition is tuberculosis of the spine with destruction of bone resulting in curvature of the spine. Find powerpoint presentations and slides using the power of, find free presentations research about pott s disease ppt. A high degree of suspicion and appropriate imaging studies are required for the early diagnosis of potts spine. Thoracic spine radiographs showed a destructive process involving t11 associated with kyphosis of the spine which was confirmed on thoracic spine ct. In 20 there were about 9 million cases of tuberculosis worldwide and 15 million deaths.
Percival pott presented the classic description of spinal tuberculosis tb in 1779. Potts disease is a combination of osteomyelitis and arthritis which involves multiple vertebrae. Potts disease is also known as tuberculosis spondylitis or spinal tuberculosis. Potts disease this entity was first described by percivall pott. Early signs of tuberculosis are fever, night sweats and weight loss. Potts spine with bilateral psoas abscesses mafiadoc. A medline search showed that only 19 articles on the subject had been published between 1966 and 2000, and only seven cases are thought to have been reported in adults.
Jan 25, 2017 the usual sites to be involved in spinal tuberculosis are the lower thoracic and upper lumbar vertebrae. Percival pott was the first person to present the classic description of spinal tuberculosis tb in 1779. The mri findings included changes in bone, disc, spinal cord, and soft tissue. Neurological recovery after early decompression for dorsal potts spine. Meaning, pronunciation, translations and examples log in dictionary. The typical site of involvement is the anterior aspect of the vertebral body adjacent to. Although tuberculosis tb is an ancient disease, it remains a major global public health problem. Pott s paraplegia resulting in severe spinal deformity is a disastrous complication, which is difficult to treat by chemotherapy alone andor by surgical decompression. View and download powerpoint presentations on pott s disease ppt. That much success has been obtained by these means there is. Potts spine presentation as cervical spondylodiskitis with abscess. Pott disease is characterized by softening and collapse of the vertebrae, often resulting in a hunchback curvature of the spine. Cureus case of potts disease in a 17yearold patient.
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