Progressive Thoracolumbar Tuberculosis in a Young Male: Diagnostic, Therapeutic, and Surgical Insights
Objective: We present the case of a 26-year-old male with severe spinal tuberculosis of the thoracolumbar region. The patient suffered from worsening back pain over five years, initially responding to over-the-counter analgesics. Despite being proposed surgery in 2019, the patient refused the interv...
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MDPI AG,
2024-10-01T00:00:00Z.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | doaj_c2453d2355df4f62bd6573f6413c07f0 | ||
042 | |a dc | ||
100 | 1 | 0 | |a Dana-Georgiana Nedelea |e author |
700 | 1 | 0 | |a Diana Elena Vulpe |e author |
700 | 1 | 0 | |a George Viscopoleanu |e author |
700 | 1 | 0 | |a Alexandru Constantin Radulescu |e author |
700 | 1 | 0 | |a Alexandra Ana Mihailescu |e author |
700 | 1 | 0 | |a Sebastian Gradinaru |e author |
700 | 1 | 0 | |a Mihnea Orghidan |e author |
700 | 1 | 0 | |a Cristian Scheau |e author |
700 | 1 | 0 | |a Romica Cergan |e author |
700 | 1 | 0 | |a Serban Dragosloveanu |e author |
245 | 0 | 0 | |a Progressive Thoracolumbar Tuberculosis in a Young Male: Diagnostic, Therapeutic, and Surgical Insights |
260 | |b MDPI AG, |c 2024-10-01T00:00:00Z. | ||
500 | |a 10.3390/idr16050080 | ||
500 | |a 2036-7449 | ||
520 | |a Objective: We present the case of a 26-year-old male with severe spinal tuberculosis of the thoracolumbar region. The patient suffered from worsening back pain over five years, initially responding to over-the-counter analgesics. Despite being proposed surgery in 2019, the patient refused the intervention and subsequently experienced significant disease progression. Methods: Upon re-presentation in 2022, mild involvement of the T12-L1 vertebrae was recorded by imaging, leading to a percutaneous needle biopsy which confirmed tuberculosis. Despite undergoing anti-tuberculous therapy for one year, the follow-up in 2024 revealed extensive infection from T10 to S1, with large psoas abscesses and a pseudo-tumoral mass of the right thigh. The patient was ultimately submitted to a two-stage surgical intervention: anterior resection and reconstruction of T11-L1 with an expandable cage, followed by posterior stabilization from T8-S1. Results: Postoperative recovery was uneventful, with significant pain relief and no neurological deficits. The patient was discharged on a continued anti-tuberculous regimen and remains under close surveillance. Conclusions: This paper presents details on the challenges of diagnosis and management of severe spinal tuberculosis, with emphasis on the importance of timely intervention and multidisciplinary care. | ||
546 | |a EN | ||
690 | |a spinal tuberculosis | ||
690 | |a tuberculous spondylitis | ||
690 | |a surgical management | ||
690 | |a medical imaging | ||
690 | |a expandable cage reconstruction | ||
690 | |a multidisciplinary approach | ||
690 | |a Other systems of medicine | ||
690 | |a RZ201-999 | ||
655 | 7 | |a article |2 local | |
786 | 0 | |n Infectious Disease Reports, Vol 16, Iss 5, Pp 1005-1016 (2024) | |
787 | 0 | |n https://www.mdpi.com/2036-7449/16/5/80 | |
787 | 0 | |n https://doaj.org/toc/2036-7449 | |
856 | 4 | 1 | |u https://doaj.org/article/c2453d2355df4f62bd6573f6413c07f0 |z Connect to this object online. |