Lytic Lesions of Vertebrae Without Involvement of Intervertebral Disc- An Atypical Presentation of Spinal Tuberculosis

  • Homayra Tahseen Hossain Assistant Professor, Medicine, Popular Medical College Hospital, Dhaka
  • Quazi Tarikul Islam Professor of Medicine,Popular Medical College Hospital, Dhaka
  • Munshi MB Md Shoaib Adnan Registrar, Medicine,Popular Medical College Hospital, Dhaka
  • Muntasir Ibne Mobin Assistant Registrar, Medicine,Popular Medical College Hospital, Dhaka
  • HAM Nazmul Ahasan Professor of Medicine, Popular Medical College Hospital, Dhaka
  • Md Abul Kashem Khandaker Professor & Head, Department of Medicine, PMCH
Keywords: Tuberculosis, Pott’s disease, progressive marrow failure

Abstract

Tuberculosis is very common in our country. It can involve many organs and have broad spectrum of image presentation. It may resemble malignant diseases, especially in the elderly and thus confuse the judgement of the clinician. We report a case of a 58 year old gentleman presenting with chronic cough, low grade fever, weight loss for 16 months; features of progressive marrow failure for 8 months and severe low back pain without any neurological features for 2 months. The CT scan of spine revealed lytic lesions of vertebrae sparing the intervertebral discs, thus resembling metastatic lesions of bone. We approached this case as malignant disease initially, but found it to be a disseminated tuberculosis infection involving lungs, bone marrow and spine after a series of investigations. Though disseminated TB is not uncommon in our country, the purpose of presenting this case is to give emphasis that, clinicians should consider Potts disease (spinal tuberculosis) in the differential diagnosis of patients with back pain and destructive vertebral lesions. Proper diagnosis and anti-tuberculous treatment with or without surgery will result in cure of the patient

Bangladesh J Medicine Jul 2016; 27(2) : 81-85

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Author Biography

Homayra Tahseen Hossain, Assistant Professor, Medicine, Popular Medical College Hospital, Dhaka


Published
2016-08-03
How to Cite
Hossain, H., Islam, Q., Adnan, M. M., Mobin, M., Ahasan, H., & Khandaker, M. A. (2016). Lytic Lesions of Vertebrae Without Involvement of Intervertebral Disc- An Atypical Presentation of Spinal Tuberculosis. Bangladesh Journal of Medicine, 27(2), 81-85. https://doi.org/10.3329/bjmed.v27i2.29055
Section
Case Reports