Torre-González D, Góngora-López J, Huerta-Olivares V, Pérez-Meave JA

Language: Spanish
References: 22
Page: 108-113
PDF size: 568.87 Kb.

ABSTRACT

The objective of the study is to apply a new diagnostic method for Pott’s Disease, in less time and fewer major surgeries. The finality is to give the patient medical treatment to improve of the disease. Patient and method: Prospective study, descriptive, longitudinal, and observational with 32 patients, average age, 48 years (20-76 years). There were 17 males (58.12%) and 15 females (46.98%). The period covered June 1994 to June 1999, with selective judgement of the patient to be included in the study. The affected levels of Pott’s disease: Thoracic, 53%; lumbar, 28%, and thoracic lumbar, 19%. Diagnosis: we carried out in each patient a systemic study including the following: Laboratory: Bh, Baar in mucosity and urine; cultivation urine and mucosity; Immunological: PPD, ELISA for Ag Tb, Immunochromatography and PCR and Other: Rx, TAC on RNM. Relation of the study results: • ELISA 15 patients (46%). • Immunochromatography 12 patients (39%). • PCR 4 patients (15%). Treatment: Giving the patient medical treatment with antibiotics. The surgical treatment came later but in some cases depending of the indications made on anterior approach, the finality to was decompress and stabilize the column. The following review for 2-year evaluation, 12 months with antibiotic, and the release of a new chromatography to observation erradication and Rx. Discussion: We offer a diagnostic method that is more efficient and that avoids the complications that Pott’s Disease presents using the PCR and chromatography, and includes follow up of the patient. Evaluation of the eradication of the infection of Mycobacterium was carried out 12 months after the treatment.

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