INTRODUCTION: Only 12 cases of musculoskeletal tuberculosis (TB) that occurred at the site of recent blunt trauma have been previously described. MATERIALS AND METHODS: A 43-year-old previously healthy man experienced an uncomplicated bursting fracture at the L2 vertebra without any spinal tuberculosis (ST)-associated evidence. During the conservative treatment, he was in good physical condition with back pain totally subsiding and occasional ambulation in a spinal brace, whereas 7 months after the original trauma, he presented with a characteristic manifestation of ST at the same vertebra. RESULTS: Intraoperatively, biopsy confirmed ST of the L2 vertebra and radical debridement with an anterior fusion was performed. The patient received an 18-month course of anti-TB regimen. Excellent clinical outcomes were achieved. CONCLUSION: In developing countries, where TB is still widely prevalent, there must be a heightened awareness of the risk of ST at recently fractured vertebrae, as demonstrated in this case.
INTRODUCTION: Only 12 cases of musculoskeletal tuberculosis (TB) that occurred at the site of recent blunt trauma have been previously described. MATERIALS AND METHODS: A 43-year-old previously healthy man experienced an uncomplicated bursting fracture at the L2 vertebra without any spinal tuberculosis (ST)-associated evidence. During the conservative treatment, he was in good physical condition with back pain totally subsiding and occasional ambulation in a spinal brace, whereas 7 months after the original trauma, he presented with a characteristic manifestation of ST at the same vertebra. RESULTS: Intraoperatively, biopsy confirmed ST of the L2 vertebra and radical debridement with an anterior fusion was performed. The patient received an 18-month course of anti-TB regimen. Excellent clinical outcomes were achieved. CONCLUSION: In developing countries, where TB is still widely prevalent, there must be a heightened awareness of the risk of ST at recently fractured vertebrae, as demonstrated in this case.
Authors: E Pertuiset; J Beaudreuil; F Lioté; A Horusitzky; F Kemiche; P Richette; D Clerc-Wyel; I Cerf-Payrastre; H Dorfmann; J Glowinski; J Crouzet; T Bardin; O Meyer; A Dryll; J M Ziza; M F Kahn; D Kuntz Journal: Medicine (Baltimore) Date: 1999-09 Impact factor: 1.889
Authors: Zhenhua Yang; Ying Kong; Frank Wilson; Betsy Foxman; Annadell H Fowler; Carl F Marrs; M Donald Cave; Joseph H Bates Journal: Clin Infect Dis Date: 2003-12-19 Impact factor: 9.079