RT Journal Article
SR Electronic
T1 Pott’s disease : clinical, radiological profil and therapeutic support
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA2277
DO 10.1183/13993003.congress-2021.PA2277
VO 58
IS suppl 65
A1 Hajar Arfaoui
A1 Hajar Bamha
A1 Hasna Jabri
A1 Wiam El Khattabi
A1 Moulay Hicham Afif
YR 2021
UL http://erj.ersjournals.com/content/58/suppl_65/PA2277.abstract
AB The spinal location of tuberculosis is responsible for spondilodiscitis, Pott’s disease is a serious form in which neurological damage may compromise the patient’s functional prognosis.This is a retrospective study of 33 cases of pott’s disease collected from the pneumology department on August 20 between January 2010 and August 2020.We analyzed the clinical and radiological profil, the ways of confirmation and treatment. The warning signs was dominated by back and chest pain. Twelve patients had neurological signs. The diagnosis was made by the highlighting of BK on direct examination and culture in the pus of the para-vertebral abscess in 7 cases, by the histological study of the disco-vertebral biopsy in 8 cases, the biopsy of another tuberculous site in 3 cases, positivity of the GeneXpert test in the bronchial suction fluid in one case and in front of a radioclinical arguments associated with a good evolution under anti-bacillary treatment in 16 cases. Surgical drainage was associated in 8 cases. The evolution has been good in all cases.The insidious evolution of disco-vertebral lesions in pott’s disease delays its diagnosis in the absence of neurological signs. The early start-up of the antibacillary treatment associated with multidisciplinary neurosurgical and radio-interventional management; thanks to the contribution of MRI; improved the prognosis.FootnotesCite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA2277.This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).