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Case Reports
. 2021 Aug 31:8:20499361211041451.
doi: 10.1177/20499361211041451. eCollection 2021 Jan-Dec.

A case of not just Pott's disease

William Greene  1 , Martin Prager  2 , Marlin Richardson  3
Affiliations
Case Reports

A case of not just Pott's disease

William Greene et al. Ther Adv Infect Dis. .

Abstract

Spinal tuberculosis (TB) is a rare cause of vertebral osteomyelitis in the developed world. Co-infections with other microorganisms are seldom reported in the literature. Here we report a case of Mycobacterium tuberculosis and Streptococcus anginosus causing acute on chronic vertebral osteomyelitis with an epidural abscess.

Keywords: Streptococcus anginosus; case report; epidural abscess; spinal tuberculosis.

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Conflict of interest statement

Conflict of interest statement: The authors declare that there is no conflict of interest.

Figures

Figure 1.
Figure 1.
Magnetic resonance image with gadolinium, T2 sagittal view. Bone marrow edema at T3–T4. Large epidural abscess at T3–T4–T5 complicated with severe spinal canal stenosis.
Figure 2.
Figure 2.
Magnetic resonance image with gadolinium, T2 axial view. Bone marrow edema and abnormal enhancement at the T3–T4 level with large epidural abscess and severe spinal cord compression. There is preservation of the anterior meningovertebral ligament; a finding suggestive of tuberculosis spondylodiscitis.
Figure 3.
Figure 3.
Sagittal view computed tomography thoracic spine showing post-operative interval placement of corpectomy device with removal of T4 and the majority of T5. Posterior fusion rods extending T2–T7.
Figure 4.
Figure 4.
Epidural abscess, hematoxylin–eosin. 10×. Well-formed granulomas (*) with giant cells.
See this image and copyright information in PMC

References

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