Metastazı Taklit Eden Spinal Tüberküloz: Bir olgu sunumu

Öz

Tuberculous spondylitis is defi ned as infection caused by Mycobacterium tuberculosis of components of the spine namely, the vertebra, intervertebral discs, paraspinal soft tissues, and the epidural space. Although the prevalence is higher in developing countries, it is common all over the World. Musculoscelatal involvement is seen most frequently in the vertebral system. TB spondylitis constitute 5-15% of all cases of TB. It is a serious clinical problem due to their high morbidity caused by the disease. Early diagnosis and treatment to avoid permanent neurological defi cits and spinal deformities is important. Here we present a case of tubeculous spondylitis mimicing metastatic disease.

Anahtar Kelimeler

• Spinal tuberculosis,spine,MR imaging,Computer Tomography

Metastazı Taklit Eden Spinal Tüberküloz: Bir Olgu Sunumu

Öz

Tüberküloz(TB) spondilit, vertebra, intervertebral disk, paraspinal yumuşak doku veya epidural mesafe bileşenlerinden oluşan omurganın mikobakteriyel tüberküloz tarafından meydana gelen enfeksiyonu olarak tanımlanır. Gelişmekte olan ülkelerdeki prevalansı daha yüksek olmakla birlikte, bütün dünyada yaygın olarak görülür. Kas-iskelet sisteminde en sık vertebral tutulum görülür. TB spondiliti tüm TB olgularının % 5-15'ini oluştururlar. Hastalık neden olduğu yüksek morbidite nedeniyle ciddi bir klinik problem oluşturmaktadır. Kalıcı nörolojik defi sit ve spinal deformiteden kaçınmak için erken tanı ve tedavi önemlidir. Biz burada bir metastatik hastalığı benzeyen tüberküloz spondiliti vakasını sunmayı amaçladık.

Anahtar Kelimeler

• Spinal tüberküloz,vertebra,bilgisayarlı tomografi,manyetik rezonans görüntüleme

Kaynakça

1. 1. Chauhan A, Gupta BB. Spinal tuberculosis. Indian AcadClin Med. 2007;8:110–4.
2. 2. Jain AK. Treatment of tuberculosis of the spine with neurologic complications. Clin Orthop Rel Res 2002;398:75-84.
3. 3. Almeida A. Tuberculosis of the spine and spinal cord. Eur J Radiol 2005; 55:193-201.
4. 4. Rajasekaran S. The problem of the deformity in spinal tuberculosis. Clin Orthop Rel Res 2002; 398:85-92.
5. 5. Martinez SF, Canale ST. Tuberculosis and other unusual infections. In Canale ST editor Campbells operati- ve orthopaedics. Vol 1 10th ed. St.Louis, London, Philedelphia, Sydney, Toronto: Mosby; 2003. p.713- 23.
6. 6. Açıkgöz B, Özcan OE, Belen D, Erbengi A, Özgen T: Surgery for progressivePott's paraplegia(tuberculosis paraplegia). Paraplegia 29: 537-541, 1991.
7. 7. Barriere V, Gepner P, Bricaire F, Bletry O, Caumes E: Current aspects ofspinal tuberculosis: A propos of 16 cases. Ann Med Interne 150: 363-369,1999.
8. 8. Davidson PT, Horowitz I: Skeletal Tuberculosls. Am J Med 48: 72-84, 1990.

9. 9. Shivaram U, Woilschlager C, Khan F, Khan A: Spinal tuberculosis revisited.South Med J 78: 681-684, 1985.
10. 10. Bradford LC, Frank JE: Infections of the spine. In: Rothman and Simeone (ed): The Spine . Saunders Co.Philadelphia, 1999 pp:1207-1258 .
11. 11. Gard RK, Somvanshi DS. Spinal tuberculosis: A review. J Spinal Cord Med. 2011;34:440–54.
12. 12. Yilmaz MH, Mete B, Kantarci F, Ozaras R, Ozer H, Mert A, et al. Tuberculous, brucellar and pyogenic spondylitis: Comparison of magnetic resonance imaging findings and assessment of its value. South Med J. 2007;100:613–4.
13. 13. Gorse GJ, Pais MJ, Kusske JA, Cesarlo TC: Tuberculosis spondylosis. Areport of 6 cases and review of the literature. Medicine. 62: 178-193, 1983
14. 14. Gropper GR, Acker JD, Robertson JH: Computer tomography in Pott’sdisease. Neurosurgery 10: 506-508, 1982.
15. 15. Omari B, Robertson JM. Nelson RJ, Chiıı LC: Pott's disease, a resurgent challenge to the thoracic surgeon. Chest 1989: 95: 145-150.