Spinal Tuberculosis a Great Mimicker

Volume 16 | Issue 1 | January-March 2021 | Page 3-9 | Harshit Dave, Dhiraj Sonawane, Vipul Shet, Ajay Chandanwale, Eknath Pawar, Saffudin Nadvi, Punite Tayde


Authers: Harshit Dave [1], Dhiraj Sonawane [1], Vipul Shet [1], Ajay Chandanwale [1], Eknath Pawar [1], Saffudin Nadvi [2], Punite Tayde [3]

[1] Department of Orthopaedics, Grant Medical College And Sir J.J. Group Of Hospitals, Byculla, Mumbai, Maharashtra, India.
[2] Apollo Spectra hospital Mumbai, Maharashtra, India.
[3] Bachelor of physiotherapy, MGM school of physiotherapy

Address of Correspondence
Dr. Dhiraj Sonawane,
Department of Orthopaedics, Grant Medical College And Sir J.J. Group Of Hospitals, Byculla,Mumbai, Maharashtra, India.
E-mail: a2zspine@gmail.com


Abstract

Vertebral tuberculosis is the most common form of skeletal tuberculosis, constituting approximately 50% of all cases. As a disease per se tuberculosis is a great masquerader, and spinal tuberculosis is no exception to this rule. It is a destructive disease, and clinical manifestations, laboratory findings, and imaging abnormalities may not be distinct and specific enough to make its diagnosis and to distinguish it from its close mimics like pyogenic spondylitis, brucella spondylitis, spinal metastasis, spinal lymphoma, multiple myeloma, ependymoma, plasmycytoma, inflammatory and degenerative spine. Consequently, it may be misdiagnosed and hence can increase morbidity and mortality due to several complications. Over-diagnosing tuberculosis can erroneously subject the patient to unnecessary drugs, which have their own adverse effects. The purpose of this review article is to provide a comprehensive note of close mimicks of tuberculosis and to highlight key clinicaal, radiological and microbiological features to differentiate spinal tuberculosis from its mimicks. We hope that this article help to prevent incorrect diagnosis and mismanagement leading out of it.
Keywords: Potts spine; Spinal tuberculosis; clinical features; radiological features; differential diagnosis; mimicker.


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How to Cite this article: Dave H, Sonawane D, Shet V, Chandanwale A, Pawar E, Nadvi S, Tayde P. Spinal Tuberculosis a Great Mimicker.. Journal of Trauma and Orthopaedic Surgery January-March 2021;16(1): 3-9.

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