Tuberculous spondylodiscitis

Case contributed by Dr Vikas Shah

Presentation

Generally unwell with weight loss, night sweats and back pain.

Patient Data

Age: 35 years
Gender: Male
X-ray

Lumbar spine x-ray

There is destruction of the left side of the T12 vertebral body, and an ill-defined mass occupying the left side of the abdomen.

CT

CT confirms destruction of the T12 vertebral body, with sclerosis of the existing bone. There is a large collection in the left retroperitoneal space, involving the psoas muscle. The appearances are of an aggressive infection.

MRI

MRI confirmed the infection to originate from the T12-L1 intervertebral disc, with an enhancing epidural abscess compressing the spinal cord, as well as the large retroperitoneal abscess - this involved the left psoas muscle and also the left erector spinae muscle. There is also a prevertebral subligamentous component. The left kidney is displaced laterally. The MRI also shows bone oedema involving both the T12 and L1 vertebral bodies.

Case Discussion

The x-ray, CT and MRI appearances are typical for tuberculous spondylodiscitis, also known as Pott's disease.

PlayAdd to Share

Case information

rID: 57643
Published: 4th Jan 2018
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.