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Tubercular spinal epidural abscess involving the dorsal-lumbar-sacral region without osseous involvement.
MedLine Citation:
PMID:  21795824     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Musculoskeletal tuberculosis is known for its ability to present in various forms and guises at different sites. Tubercular spinal epidural abscess (SEA) is an uncommon infectious entity. Its presence without associated osseous involvement may be considered an extremely rare scenario. We present a rare case of tubercular SEA in an immune-competent 35-year-old male patient. The patient presented with acute cauda equina syndrome and was shown to have multisegmental SEA extending from D5 to S2 vertebral level without any evidence of vertebral involvement on MRI. The patient made an uneventful recovery following surgical decompression and antitubercular chemotherapy. The diagnosis was confirmed by histopathological demonstration of Mycobacterium tuberculosis in drained pus. Such presentation of tubercular SEA has not been reported previously in the English language based medical literature to the best of our knowledge.
Authors:
Sumit Arora; Ramesh Kumar
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Publication Detail:
Type:  Journal Article     Date:  2011-07-27
Journal Detail:
Title:  Journal of infection in developing countries     Volume:  5     ISSN:  1972-2680     ISO Abbreviation:  J Infect Dev Ctries     Publication Date:  2011  
Date Detail:
Created Date:  2011-07-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101305410     Medline TA:  J Infect Dev Ctries     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  544-9     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi - 110002, India. mamc_309@yahoo.co.in.
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