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. 2023 Aug 28;109(5):983-984.
doi: 10.4269/ajtmh.23-0060. Print 2023 Nov 1.

Multifocal Noncontiguous Spinal Tuberculosis

Affiliations

Multifocal Noncontiguous Spinal Tuberculosis

Shutao Gao et al. Am J Trop Med Hyg. .
No abstract available

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Figures

Figure 1.
Figure 1.
Preoperative CT and MRI scans. (A–C) Sagittal CT images indicate bony destruction in the C5, C6, T3, T10, T12, and L1 vertebrae. (D and E) Preoperative sagittal MRI indicates high signal intensity in multiple vertebrae and a fusiform paraspinal abscess in front of the T1–T4 vertebrae. (F) Axial MRI scan at the T4 vertebra level indicate a paravertebral abscess (white arrow). (G and H) Axial CT and MRI scans at the L4/5 intervertebral level indicate a massive psoas abscess (white arrow). CT = computed tomography; MRI = magnetic resonance imaging.
Figure 2.
Figure 2.
Histopathological examination showed granulomata with multinucleated giant cells (40×).
Figure 3.
Figure 3.
CT images at 12-month follow-up. (A and B) Sagittal CT images suggest the bony destruction improved in the C5, C6, T3, T10, T12, and L1 vertebrae, and bony fusion was achieved between the T12 and L1 vertebrae. (C and D) Coronal and axial CT scans indicate that the psoas abscess was cured (white arrows). CT = computed tomography.

References

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    1. Sonawane D, Garg B, Jadhav K, 2020. Extend of skipped multifocal noncontiguous spinal tuberculosis beyond imagination: a rare case report and literature review. Asian J Neurosurg 15: 136–139. - PMC - PubMed
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