[Tuberculosis of the spine in children. Personal experience].
We are currently witnessing a worldwide return of tuberculosis. An extremely rare form is tuberculosis of the spine which is reported above all in extra-European studies. The authors report a case of Pott's disease in a child aged 3 years and 3 months who was referred to their attention due to the appearance of left inguinal swelling, fever and anemia. Diagnostic tests (ETG, CT, MR) showed an abscess involving the L5-S1 intersomatic space, the intervertebral disc and osteolytic lesions of S1, with impairment of the left psoas muscle and diffusion as far as the inguinal region. Chemotherapy was commenced using isoniazid, ethambutol, rifampicin, and streptomycin and lasted 24 months associated with drainage of the ileopsoas abscess. Conservative orthopedic treatment lasting for one year initially took the form of decubitus in bed with hyperdistension of the vertebral column, followed by the creation of a plaster-cast cot on the back and lastly a glass-reinforced resin orthopedic jacket. The follow-up of 2 years and 10 months showed recovery with reconstruction of the vertebral elements and the preservation of intervertebral space.
Mantero
E
E
Università degli Studi di Genova, II Clinica Malattie Infettive Instituto Giannina Gaslini, Genova.
Casu
F
F
Asquasciati
G
G
Sènès
F M
FM
Risso
S
S
Marazzi
M G
MG
Ratto
S
S
Pinelli
G
G
Tomà
P
P
D000038:Abscess / Q000382:microbiology / Q000601:surgery; D002675:Child, Preschool; D006801:Humans; D007538:Isoniazid / Q000008:administration & dosage / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D012293:Rifampin / Q000008:administration & dosage / Q000627:therapeutic use; D013116:Spinal Cord / Q000000981:diagnostic imaging / Q000382:microbiology; D013307:Streptomycin / Q000008:administration & dosage / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014399:Tuberculosis, Spinal / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
D007538:Isoniazid; D012293:Rifampin; D013307:Streptomycin
Tubercolosi della colonna vertebrale in età pediatrica. Nostra esperienza.