Open AccessSkipped multilevel lesion as an atypical tuberculous spondylitis mimicking spinal metastasis: A case report
Author(s) -
Paulus Sugianto,
Felisitas Farica Sutantoyo
Publication year - 2021
Publication title -
deleted journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.138
H-Index - 16
ISSN - 1823-6138
DOI - 10.54029/2021jun
Subject(s) - medicine , tuberculosis , spondylitis , lesion , incidence (geometry) , thoracic vertebrae , extrapulmonary tuberculosis , pathology , radiology , surgery , mycobacterium tuberculosis , lumbar vertebrae , ankylosing spondylitis , lumbar , physics , optics
Tuberculosis (TB) is one of major global health threats and leads to morbidity and mortality. TB is prevalent in low and middle income countries especially in Sub-Saharan Africa and South East Asia. M. tuberculosis usually affects the lungs. Spine is the most common extrapulmonary sites for TB after lymph nodes, accounts for 1% of all TB cases, and 50 to 60% of osteoarticular TB. In the case of spinal TB, two or more adjacent vertebrae are usually involved due to hematogenous spread of bacteria in which the vertebral arteries feed the two adjacent vertebrae. The incidence of multiplelevel non-contiguous spinal TB is 1.1 to 16% of all skeletal TB. Multiple-level non-contiguous, an atypical form of spinal TB is rare. It has insidious symptoms, often with diagnostic delays and a higher risk of permanent neurological deficits. We report a case of atypical TB spondylitis with non-contiguous multiple level of lesions mimicking multiple bone metastases.