E-ISSN 2534-9821
 

Case Report 


Spinal tuberculosis - Treatment options beyond guidelines

Ines Esteves Cruz, Pedro Ferreira, Sara Brandao Machado, Joao Mourato Torres, Ana Claudia Miranda, Isabel Antunes.

Abstract
Spinal tuberculosis, a presentation of extrapulmonary tuberculosis, usually presents with chronic back pain or deformity. The diagnosis is often delayed due to the insidious and nonspecific nature of the initial symptoms. The thoracic spine is more commonly affected, but it can affect other segments or be multisegmental. The site and extent of the lesion will determine the resulting neurological deficits which can lead to significant morbidity and functional impairment. Combination chemotherapy for 6 months is recommended, but some experts may recommend therapy for 9 to 12 months depending on the circumstances. Adjunct corticotherapy and surgery are also options in specific cases. Further studies will be needed in order to better understand the role of these therapies in severe tuberculosis, and in particular spinal tuberculosis.

Key words: Tuberculosis, Spinal tuberculosis, Spinal cord compression, Paraplegia, Corticosteroid therapy, Mycobacterium tuberculosis


 
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How to Cite this Article
Pubmed Style

Cruz IE, Ferreira P, Machado SB, Torres JM, Miranda AC, Antunes I. Spinal tuberculosis - Treatment options beyond guidelines. Int J Med Rev Case Rep. 2020; 4(2): 15-18. doi:10.5455/IJMRCR.spinal-tuberculosis


Web Style

Cruz IE, Ferreira P, Machado SB, Torres JM, Miranda AC, Antunes I. Spinal tuberculosis - Treatment options beyond guidelines. https://www.mdpub.net/?mno=75682 [Access: September 12, 2022]. doi:10.5455/IJMRCR.spinal-tuberculosis


AMA (American Medical Association) Style

Cruz IE, Ferreira P, Machado SB, Torres JM, Miranda AC, Antunes I. Spinal tuberculosis - Treatment options beyond guidelines. Int J Med Rev Case Rep. 2020; 4(2): 15-18. doi:10.5455/IJMRCR.spinal-tuberculosis



Vancouver/ICMJE Style

Cruz IE, Ferreira P, Machado SB, Torres JM, Miranda AC, Antunes I. Spinal tuberculosis - Treatment options beyond guidelines. Int J Med Rev Case Rep. (2020), [cited September 12, 2022]; 4(2): 15-18. doi:10.5455/IJMRCR.spinal-tuberculosis



Harvard Style

Cruz, I. E., Ferreira, . P., Machado, . S. B., Torres, . J. M., Miranda, . A. C. & Antunes, . I. (2020) Spinal tuberculosis - Treatment options beyond guidelines. Int J Med Rev Case Rep, 4 (2), 15-18. doi:10.5455/IJMRCR.spinal-tuberculosis



Turabian Style

Cruz, Ines Esteves, Pedro Ferreira, Sara Brandao Machado, Joao Mourato Torres, Ana Claudia Miranda, and Isabel Antunes. 2020. Spinal tuberculosis - Treatment options beyond guidelines. International Journal of Medical Reviews and Case Reports, 4 (2), 15-18. doi:10.5455/IJMRCR.spinal-tuberculosis



Chicago Style

Cruz, Ines Esteves, Pedro Ferreira, Sara Brandao Machado, Joao Mourato Torres, Ana Claudia Miranda, and Isabel Antunes. "Spinal tuberculosis - Treatment options beyond guidelines." International Journal of Medical Reviews and Case Reports 4 (2020), 15-18. doi:10.5455/IJMRCR.spinal-tuberculosis



MLA (The Modern Language Association) Style

Cruz, Ines Esteves, Pedro Ferreira, Sara Brandao Machado, Joao Mourato Torres, Ana Claudia Miranda, and Isabel Antunes. "Spinal tuberculosis - Treatment options beyond guidelines." International Journal of Medical Reviews and Case Reports 4.2 (2020), 15-18. Print. doi:10.5455/IJMRCR.spinal-tuberculosis



APA (American Psychological Association) Style

Cruz, I. E., Ferreira, . P., Machado, . S. B., Torres, . J. M., Miranda, . A. C. & Antunes, . I. (2020) Spinal tuberculosis - Treatment options beyond guidelines. International Journal of Medical Reviews and Case Reports, 4 (2), 15-18. doi:10.5455/IJMRCR.spinal-tuberculosis