IntroductionPotts disease
Is a spine infection associated with tuberculosis that is characterized by bone destruction,fracture, and collapse of the vertebrae, resulting in kyphotic deformity.
Is the presentation of the extra-pulmonary tuberculosis arthritis of the intervertebral joints
Also called
tuberculosis spondylitis, tuberculous spondyloarthropathy, spinal TB,musculoskeletal tuberculosis
The causative agent is
Mycobacterium Tubercule
Particularly the lower thoracic and the upper lumbar regions are affected.
Commonly localized in the thoracic 11 and thoracic 12.
The original name was formed after
Percivall Potts
a London surgeon.
Patient with BCG has 80% immunity.
Pathognomonic Sign: Gibbus Formation
Signs and Symptoms: Back Pain, Fever, Night Sweating, Anorexia, Weight Loss, Spinalmass, sometimes associated withnumbness,tingling,or muscle weaknessof the legs
Diagnostic Exam: Blood Test: elevated erythrocyte sedimentation rate, Tuberculin test,Bone Scan, Radiographs of the spine, CT of the spine, Bone biopsy, MRI
Predisposing Factors: Direct contaminant especially in children, Malnutrition, Poor Environmental Condition, Trauma
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