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2009, Number 88

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Rev Enfer Infec Pediatr 2009; 22.23 (88)

Pott disease with secondary paravertebral abscess: presentation of a clinical pediatric

Hernández PM, González SN, Espinosa SC, González VE, Frías MBI

Language: Spanish
References: 14
Page: 126-129
PDF size: 150.15 Kb.


ABSTRACT

It concerns to a 3-year-8-month-old Pott disease patient, with diseased mother antecedent 3 months after the patient’s birth. The clinical pattern starts with progressive pain in lower limbs to the point of disability, accompanied by increasing lumbar pain during deambulation, subsequently, time not specified, the patient exhibit a 2x2 cm thoracolumbar tumor with increasing size, hyperlordosis, scoliosis, weight loss. The patient is treated with anti-inflammatory for 5 days by a physician without recovery. The patient goes to the General Hospital of Michoacan, where T12 an L1 corpus vertebrae destruction is observed in column radiography. The patient is then referred to the National Institute of Pediatrics for possible fracture of vertebral column. The back-lumbar magnetic resonance imaging of the vertebral column showed L1 spondilitis with epicon compression, dura mater damage in this region, as well as right psoas muscle abscess and myositis in the left psoas muscle. Treatment started with anti-tuberculous drugs, and then a surgical event was carried out with normal progress at 4/12 months after treatment.


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