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Case Report
Pott’s disease: A wake-up call for an underestimated diagnosis
1 Universidade Iguaçu-UNIG, Nova Iguaçu, Rio de Janeiro, Brazil
2 Department of Neurology of Hospital Geral de Nova Iguaçu, Adjunct Professor of Medicine at Iguaçu University - UNIG/Nova Iguaçu, RJ, Brazil
Address correspondence to:
Antônio Marcos da Silva Catharino
Rua Gavião Peixoto 70, Room 811, CEP 24.2230-100, Icaraí, Niterói-RJ,
Brazil
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Article ID: 101397Z01JF2023
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How to cite this article
Fernandes J, Fernandes J, Mignot L, Toledo F, Falci R, da Silva Catharino AM. Pott’s disease: A wake-up call for an underestimated diagnosis. Int J Case Rep Images 2023;14(1):129–132.ABSTRACT
Introduction: Tuberculosis continues to be a major cause of death worldwide. The bacillus responsible for this condition, Mycobacterium tuberculosis, typically affects the lungs, but can also affect other regions, in which case it is called extrapulmonary tuberculosis. Osteoarticular manifestations represent the third most common form of this type of tuberculosis. The axial skeleton stands out as the most affected region; this is called tuberculous spondylodiscitis or Pott’s disease.
Case Report: A 26-year-old male patient, living in Queimados, an informal worker, reported that about one month ago he presented weight loss of 7 kg, low back pain without irradiation (intensity 10/10), and a dry cough. One week ago, he started having chills with changes in the cough pattern, which became productive. Laboratory tests and serologies were unaltered. Alcohol-Acid Resistant Bacilli (BAAR): Positive +++ in 200 observed fields. Rapid molecular test (TRM): Detectable.
Conclusion: To a great extent, the incidence of tuberculosis has been maintained by immunosuppressive diseases, such as human immunodeficiency virus (HIV). In contrast, tuberculous spondylodiscitis remains an underdiagnosed condition in most services, and its management is still under discussion.
Keywords: Pott’s disease, Pott’s paraplegia, Spinal cord compression, Spinal tuberculosis
SUPPORTING INFORMATION
Author Contributions
Jacqueline Fernandes - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Janie Fernandes - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Leandro Mignot - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Felipe Toledo - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Roberto Falci - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Antônio Marcos da Silva Catharino - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Jacqueline Fernandes et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
