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      Is Open Access

      Importantes lésions radiologiques de spondylodiscite tuberculeuse pauci-symptomatique

      case-report

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          La spondylodiscite tuberculeuse est la localisation la plus fréquente des tuberculoses ostéo-articulaires et parmi-celle-ci l'atteinte dorsolombaire est prédominante. Les formes associées à d'autres localisations de la tuberculose restent rares chez les immuno-compétants. Les auteurs rapportent une observation d'un patient présentant des signes radiologiques majeurs d'une tuberculose multiviscérale et spondylo-discale confirmée histologiquement, avec un tableau clinique pauvre afin de discuter l'intérêt de l'imagerie dans le diagnostic de cette pathologie.

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          Most cited references14

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          Spinal tuberculosis: a review.

          Dilip Somvanshi, R Garg (2010)
          Spinal tuberculosis is a destructive form of tuberculosis. It accounts for approximately half of all cases of musculoskeletal tuberculosis. Spinal tuberculosis is more common in children and young adults. The incidence of spinal tuberculosis is increasing in developed nations. Genetic susceptibility to spinal tuberculosis has recently been demonstrated. Characteristically, there is destruction of the intervertebral disk space and the adjacent vertebral bodies, collapse of the spinal elements, and anterior wedging leading to kyphosis and gibbus formation. The thoracic region of vertebral column is most frequently affected. Formation of a 'cold' abscess around the lesion is another characteristic feature. The incidence of multi-level noncontiguous vertebral tuberculosis occurs more frequently than previously recognized. Common clinical manifestations include constitutional symptoms, back pain, spinal tenderness, paraplegia, and spinal deformities. For the diagnosis of spinal tuberculosis magnetic resonance imaging is more sensitive imaging technique than x-ray and more specific than computed tomography. Magnetic resonance imaging frequently demonstrates involvement of the vertebral bodies on either side of the disk, disk destruction, cold abscess, vertebral collapse, and presence of vertebral column deformities. Neuroimaging-guided needle biopsy from the affected site in the center of the vertebral body is the gold standard technique for early histopathological diagnosis. Antituberculous treatment remains the cornerstone of treatment. Surgery may be required in selected cases, e.g. large abscess formation, severe kyphosis, an evolving neurological deficit, or lack of response to medical treatment. With early diagnosis and early treatment, prognosis is generally good.
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            Apport de l’IRM dans les spondylodiscites tuberculeuses

            M Boubbou, N Houssaini-Squalli, M Maaroufi … (2012)
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              Mal de Pott a propos de 320 cas

              M Maftah, M Lmjjati, A. Mansouri … (2001)
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                Author and article information

                Journal
                Journal ID (nlm-ta): Pan Afr Med J
                Journal ID (iso-abbrev): Pan Afr Med J
                Journal ID (publisher-id): PAMJ
                Title: The Pan African Medical Journal
                Publisher: The African Field Epidemiology Network
                ISSN (Electronic): 1937-8688
                Publication date (Electronic): 06 August 2014
                Publication date Collection: 2014
                Volume: 18
                Electronic Location Identifier: 282
                Affiliations
                [1 ]Service d'Imagerie Médicale et de Radiodiagnostic CHU-JRA, Antananarivo, Madagascar
                Author notes
                [& ]Corresponding author: Hasina Ursèle Andrianarimanitra, Service d'Imagerie Médicale et de Radiodiagnostic CHU-JRA, Antananarivo, Madagascar
                Article
                Publisher ID: PAMJ-18-282
                DOI: 10.11604/pamj.2014.18.282.4982
                PMC ID: 4258201
                PubMed ID: 25489376
                SO-VID: 4c99e8c0-1501-4118-8909-a3b88b763412
                Copyright © © Hasina Ursèle Andrianarimanitra et al.
                License:

                The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 07 July 2014
                Date accepted : 03 August 2014
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Medicine
                Keywords: tuberculose multiviscérale,spondylodiscite,imagerie,immuno-competant
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: tuberculose multiviscérale, spondylodiscite, imagerie, immuno-competant

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