Pott's Disease: An Emerging Source of Potentially Inappropriate Treatment
05 April 2019
23 April 2019
29 May 2019 (online)
Spinal Tuberculosis in children is uncommon, even more so in cases of involvement of posterior vertebral elements, and its diagnosis is often delayed. Here we report the case of a young female presenting neuroradiological features and clinical symptoms suspicious for malignant tumor. Histological examination of biopsy specimen evidenced a Pott's disease. We highlight the importance of suspecting this disorder in children with both aspecific systemic and neurological symptoms, in order to reach a timely diagnosis for appropriate and targeted intervention, avoiding the risk of overtreatment and malpractice claims.
No targeted funding reported.
The authors have no conflicts of interest to disclose with regard to this manuscript.
An informed consent form was signed by the parents of the patient to approve the use of patient information or material for scientific purposes. The patient identity has not been disclosed anywhere in the manuscript and does not contain any identifiable images.
- 1 Arora S, Sabat D, Maini L. , et al. Isolated involvement of the posterior elements in spinal tuberculosis: a review of twenty-four cases. J Bone Joint Surg Am 2012; 94 (20) e151
- 2 Rajgopalan M, Srivastava A, Dhammi IK, Jain AK. Tuberculosis - ‘The great masquerader’ presenting as a dumb-bell-shaped intradural extramedullary tumor in a 20-year-old female. J Clin Orthop Trauma 2017; 8 (02) 168-170
- 3 Mittal N, Mahendra KM, Mittal P, Vashisht D. An atypical case of tuberculosis of the posterior elements of T2 and T3 without involvement of the vertebral bodies. JBJS Case Connect 2015; 5 (04) e103
- 4 Chatterjee S, Banta A. The spectrum of tuberculosis of the spine in pediatric age group: a review. Childs Nerv Syst 2018; 34 (10) 1937-1945