一名两岁女童的波特氏截瘫:罕见的幼年病例

IF 1 Q4 INFECTIOUS DISEASES
Case Reports in Infectious Diseases Pub Date : 2024-04-27 eCollection Date: 2024-01-01 DOI:10.1155/2024/5575592
Preeti Basnet, Anish Joshi, Saurab Karki, Anil Jung Thapa, Prayash Poudel, Anugya Sapkota, Manoj Shrestha, Shreebridhi Pande
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引用次数: 0

摘要

简介波茨病是一种肺外骨骼结核病,主要侵犯胸腰椎。它破坏椎间盘间隙、邻近椎体和脊柱元素,导致脊髓受压和截瘫:这是一个病例报告,研究对象是一名 29 个月大的幼儿,因双下肢无力到我院就诊:根据临床、实验室和放射学检查,她被诊断为波特氏脊柱炎,开始接受抗结核治疗,并计划在后续治疗中进行手术:结论:脊柱结核在发展中国家仍然很普遍,主要发生在儿童身上。结论:脊柱结核在发展中国家仍然很普遍,主要发生在儿童身上,由于该病能够导致骨质破坏、脊柱畸形和截瘫,其并发症可能是毁灭性的。因此,在结核病流行的地区,当儿童出现下肢截瘫时,临床上应怀疑是否患有波茨病。尽管接种了疫苗,儿童仍有可能患上结核病,并扩散到脊柱。早期诊断和快速干预可改善脊柱结核的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pott's Paraplegia in a 2 Years Female: A Rare Presentation at an Early Age.

Introduction: Potts disease is extrapulmonary skeletal tuberculosis mostly affecting the thoracolumbar spine. It destroys the disc space, adjacent vertebral bodies, and spinal elements, leading to cord compression and paraplegia.

Methods: This is a case report study of a 29-month-old toddler who presented to our hospital with bilateral lower limb weakness.

Results: On clinical, laboratory, and radiological examination, she was diagnosed with Pott's spine, started on antitubercular therapy, and planned for surgery in her follow-up.

Conclusion: Tuberculosis of the spine is still prevalent in developing countries, mainly in children. Complications of the disease can be devastating because of its ability to cause bone destruction, spinal deformity, and paraplegia. So, in a tuberculosis-endemic region, clinical suspicion should be there for Potts disease when a child presents with paraplegia of the lower limbs. Children can develop tuberculosis which can spread to the spine despite vaccination. The prognosis of spinal tuberculosis is improved by early diagnosis and rapid intervention.

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