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Intra-medullary tubercular abscess with spinal dysraphism: An unusual case

Spinal intramedullary tubercular abscess itself is a rare entity. Very few cases have been reported. We report a case of a 4-month-old female with a dermal sinus in lower back since birth, intermittent fever for 2 months, acute onset paraparesis and bowel bladder involvement showing an intramedullar...

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Autores principales: Bhanage, Ashok, Katkar, Anand, Ghate, Prajakta, Ratta, Bhagwant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4395955/
https://www.ncbi.nlm.nih.gov/pubmed/25878753
http://dx.doi.org/10.4103/1817-1745.154361
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author Bhanage, Ashok
Katkar, Anand
Ghate, Prajakta
Ratta, Bhagwant
author_facet Bhanage, Ashok
Katkar, Anand
Ghate, Prajakta
Ratta, Bhagwant
author_sort Bhanage, Ashok
collection PubMed
description Spinal intramedullary tubercular abscess itself is a rare entity. Very few cases have been reported. We report a case of a 4-month-old female with a dermal sinus in lower back since birth, intermittent fever for 2 months, acute onset paraparesis and bowel bladder involvement showing an intramedullary contrast enhancing lesion extending from D11 to S2 level with low lying conus, and a subcutaneous tract in lower back at S2 level extending from skin up to the sacral canal on magnetic resonance imaging of the spine. Drainage of abscess and biopsy revealed tubercular infection on histopathology. The patient made a good recovery with anti-tubercular treatment and physiotherapy. The source of tubercular infection could not be established. The baby had received Bacillus Calmette–Guérin vaccination at birth and the possibility of vaccination associated tubercular infection could not be ruled out.
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spelling pubmed-43959552015-04-15 Intra-medullary tubercular abscess with spinal dysraphism: An unusual case Bhanage, Ashok Katkar, Anand Ghate, Prajakta Ratta, Bhagwant J Pediatr Neurosci Case Report Spinal intramedullary tubercular abscess itself is a rare entity. Very few cases have been reported. We report a case of a 4-month-old female with a dermal sinus in lower back since birth, intermittent fever for 2 months, acute onset paraparesis and bowel bladder involvement showing an intramedullary contrast enhancing lesion extending from D11 to S2 level with low lying conus, and a subcutaneous tract in lower back at S2 level extending from skin up to the sacral canal on magnetic resonance imaging of the spine. Drainage of abscess and biopsy revealed tubercular infection on histopathology. The patient made a good recovery with anti-tubercular treatment and physiotherapy. The source of tubercular infection could not be established. The baby had received Bacillus Calmette–Guérin vaccination at birth and the possibility of vaccination associated tubercular infection could not be ruled out. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4395955/ /pubmed/25878753 http://dx.doi.org/10.4103/1817-1745.154361 Text en Copyright: © Journal of Pediatric Neurosciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Bhanage, Ashok
Katkar, Anand
Ghate, Prajakta
Ratta, Bhagwant
Intra-medullary tubercular abscess with spinal dysraphism: An unusual case
title Intra-medullary tubercular abscess with spinal dysraphism: An unusual case
title_full Intra-medullary tubercular abscess with spinal dysraphism: An unusual case
title_fullStr Intra-medullary tubercular abscess with spinal dysraphism: An unusual case
title_full_unstemmed Intra-medullary tubercular abscess with spinal dysraphism: An unusual case
title_short Intra-medullary tubercular abscess with spinal dysraphism: An unusual case
title_sort intra-medullary tubercular abscess with spinal dysraphism: an unusual case
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4395955/
https://www.ncbi.nlm.nih.gov/pubmed/25878753
http://dx.doi.org/10.4103/1817-1745.154361
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