- Tuberculosis of the spine - especially manifestations
- Diagnosis and treatment
Tuberculosis of the spine, if not timely treated, can lead to serious complications, including - neurological problems and skeletal deformities. Fortunately, in most cases, this kind of TB respond well to treatment with medicines, and sometimes surgical methods.
Symptoms of tuberculosis of the spine, which is also called tuberculous spondylitis or Pott's disease, was found in the study of human remains of the Iron Age and ancient mummies found in Egypt and on the Pacific coast of South America. As with pulmonary tuberculosis, a disease that seems to accompany a person throughout its history. In 1779, Dr. Percival Pott described in detail the disease, which is now named after him.
With the advent of anti-TB drugs and to improve the quality of health care, in general, the incidence of tuberculosis of the spine in the developed countries has decreased significantly, but in developing countries it is still a fairly common disorder.
Typically, tuberculosis of bones
Tuberculosis of the bones - one of the most common forms of extrapulmonary tuberculosis
Spine is a secondary infection that starts to develop in patients with pulmonary tuberculosis. From light (much less - from another primary tumor) TB germs get through the blood to other parts of the body, including the spine. Will the developed secondary infection depends mainly on the overall health of the patient, and above all - how strong his immune system.
Tuberculosis usually affects the spine more than one vertebra; In typical cases, the infection begins to develop in the surface portion of the vertebrae adjacent to the subchondral bone, and in the area of tuberculosis may extend to the next intervertebral discs. In children, tuberculosis of the spine sometimes begins to develop into the intervertebral disc.
In 40-50% of cases of this type of tuberculosis is striking thoracic vertebrae in 35-45% of cases - the lumbar spine. Cervical spine suffers from Pott's disease in approximately 10% of patients.
Pott's disease is diagnosed in 1-2% of the total number of TB patients. In developed countries, tuberculosis
Tuberculosis - a full recovery is not guaranteed
spine occurs predominantly in adults; in Third World countries, the disease most often diagnosed in young adults and children of preschool and school age. In addition, studies conducted in the United States and Western Europe have shown that spinal tuberculosis is more common in people of African, Hispanic and Asian descent than European immigrants. It is assumed that this is not due to innate characteristics that make the members of certain ethnic groups more susceptible to tuberculosis, and the fact that these populations standard of living, on average, below, and that is what makes the prevalence of tuberculosis.
Tuberculosis of the spine is slightly more common in men than in women: the proportion of patients with this diagnosis ranges from 1.5: 1 to 2: 1.
Symptoms of tuberculosis of the spine
Symptoms of the disease are caused by its stage, the presence of complications, as well as those which struck the portion of the spine tuberculosis.
The earliest and most common symptom of tuberculosis of the spine is a pain in the back. As a rule, the pain does not pass after a holiday or after a massage or use any other means to relieve pain, and many patients seek treatment within a few weeks after its occurrence. In patients with secondary tuberculosis of the spine (ie the vast majority) are observed and symptoms such as fever, weight reduction, cough, weakness, chest pain
Chest pain is one symptom - a lot of diseases
In tuberculosis of the cervical spine, in addition to back pain, stiffness in the neck can be observed, dysphagia - a condition in which a person can not swallow normally, torticollis and change of voice.
Almost all patients with the disease Pott observed some degree of deformity of the spine (kyphosis). A significant proportion of patients are also marked muscle spasms and muscle stiffness.
Usually, symptoms of TB
Symptoms of TB - how to recognize the disease
spine gradually intensified, but the top of the tuberculosis of the cervical, they can progress very quickly.