Multifocal skeletal tuberculosis presenting as paraplegia: a case report

Tuberculosis of the musculoskeletal system is not a common clinical condition; however, multifocal bone involvement is even rarer and difficult to recognize. In this paper, we presented a patient who developed paraplegia 15 days before his hospital admission. He was operated by neurosurgeons due to...

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Bibliographic Details
Published in:Journal of back and musculoskeletal rehabilitation 2014-01, Vol.27 (2), p.239-245
Main Authors: Gur, Ali, Altindag, Ozlem, Karagullu, Hilal, Koca, Irfan, Madenci, Ercan
Format: Article
Language:English
Subjects:
Diagnosis, Differential
Humans
Magnetic Resonance Imaging
Male
Multimodal Imaging
Paraplegia - diagnosis
Paraplegia - etiology
Positron-Emission Tomography
Tomography, X-Ray Computed
Tuberculosis, Spinal - complications
Tuberculosis, Spinal - diagnosis
Young Adult
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Summary:Tuberculosis of the musculoskeletal system is not a common clinical condition; however, multifocal bone involvement is even rarer and difficult to recognize. In this paper, we presented a patient who developed paraplegia 15 days before his hospital admission. He was operated by neurosurgeons due to spinal mass, but postoperative examination revealed vertebral and multifocal skeletal tuberculosis. It is difficult to diagnose this condition by conventional imaging methods. The importance of positron emission tomography (PET) in the diagnosis of skeletal tuberculosis was emphasized. The importance of rehabilitation program in restoring functionality was overviewed in the light of current literature. Vertebral and osteoarticular tuberculosis should be considered in patients with vertebral and thoracic mass presenting with neurological deficits.
ISSN:1053-8127
1878-6324
DOI:10.3233/BMR-130428