Bone tuberculosis: when consider this diagnosis?
The most common presentation of bone tuberculosis (TB) is called spondylodiscitis, or "Pott's disease", which is a difficult diagnosis due to its low prevalence in Switzerland. It should be considered in patients with persistent back pain, who are at high risk, such as migrant populat...
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| Veröffentlicht in: | Revue médicale suisse 2016-02, Vol.12 (504), p.262-265 |
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| creator | Del Puppo, Lola Janssens, Jean-Paul Kherad, Omar Younossian, Alain Bigin Frésard, Isabelle |
| description | The most common presentation of bone tuberculosis (TB) is called spondylodiscitis, or "Pott's disease", which is a difficult diagnosis due to its low prevalence in Switzerland. It should be considered in patients with persistent back pain, who are at high risk, such as migrant population and immunocompromised patients. Diagnosis is based on imaging and the detection of M. tuberculosis in biopsy of affected vertebra orparaspinal abscess, or even if active tuberculosis is proven in any other site. It's essential to initiate appropriate treatment as quickly as possible in order to avoid neurological complications and spinal deformity and to identify cases that will require a surgical therapy. |
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It should be considered in patients with persistent back pain, who are at high risk, such as migrant population and immunocompromised patients. Diagnosis is based on imaging and the detection of M. tuberculosis in biopsy of affected vertebra orparaspinal abscess, or even if active tuberculosis is proven in any other site. It's essential to initiate appropriate treatment as quickly as possible in order to avoid neurological complications and spinal deformity and to identify cases that will require a surgical therapy.</description><identifier>ISSN: 1660-9379</identifier><identifier>PMID: 26999996</identifier><language>fre</language><publisher>Switzerland</publisher><subject>Back Pain - etiology ; Biopsy ; Discitis - diagnosis ; Discitis - epidemiology ; Discitis - microbiology ; Humans ; Mycobacterium tuberculosis - isolation & purification ; Switzerland - epidemiology ; Tuberculosis, Osteoarticular - diagnosis ; Tuberculosis, Osteoarticular - epidemiology ; Tuberculosis, Osteoarticular - pathology ; Tuberculosis, Spinal - diagnosis ; Tuberculosis, Spinal - epidemiology ; Tuberculosis, Spinal - pathology</subject><ispartof>Revue médicale suisse, 2016-02, Vol.12 (504), p.262-265</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26999996$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Del Puppo, Lola</creatorcontrib><creatorcontrib>Janssens, Jean-Paul</creatorcontrib><creatorcontrib>Kherad, Omar</creatorcontrib><creatorcontrib>Younossian, Alain Bigin</creatorcontrib><creatorcontrib>Frésard, Isabelle</creatorcontrib><title>Bone tuberculosis: when consider this diagnosis?</title><title>Revue médicale suisse</title><addtitle>Rev Med Suisse</addtitle><description>The most common presentation of bone tuberculosis (TB) is called spondylodiscitis, or "Pott's disease", which is a difficult diagnosis due to its low prevalence in Switzerland. It should be considered in patients with persistent back pain, who are at high risk, such as migrant population and immunocompromised patients. Diagnosis is based on imaging and the detection of M. tuberculosis in biopsy of affected vertebra orparaspinal abscess, or even if active tuberculosis is proven in any other site. It's essential to initiate appropriate treatment as quickly as possible in order to avoid neurological complications and spinal deformity and to identify cases that will require a surgical therapy.</description><subject>Back Pain - etiology</subject><subject>Biopsy</subject><subject>Discitis - diagnosis</subject><subject>Discitis - epidemiology</subject><subject>Discitis - microbiology</subject><subject>Humans</subject><subject>Mycobacterium tuberculosis - isolation & purification</subject><subject>Switzerland - epidemiology</subject><subject>Tuberculosis, Osteoarticular - diagnosis</subject><subject>Tuberculosis, Osteoarticular - epidemiology</subject><subject>Tuberculosis, Osteoarticular - pathology</subject><subject>Tuberculosis, Spinal - diagnosis</subject><subject>Tuberculosis, Spinal - epidemiology</subject><subject>Tuberculosis, Spinal - pathology</subject><issn>1660-9379</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1jz1rwzAYhDW0JCHNXwgeuxgkvbI-upQ29AsCXbIbSX7TqNiSa9mU_vs6NL3lhnu4467IiklJSwPKLMkm5086SzLgHBZkyaU5S64IfUwRi3FyOPipTTnku-L7hLHwKebQ4FCMp5CLJtiPeE7vb8j10bYZNxdfk8Pz02H3Wu7fX952D_uyr6QsjacKFUWP86q1jKO3gMIKDppqjZxJACePCiuhhTFCNI5p4bwVlRVCwZrc_tX2Q_qaMI91F7LHtrUR05RrplQFGoCbGd1e0Ml12NT9EDo7_NT_J-EXkMJMFA</recordid><startdate>20160203</startdate><enddate>20160203</enddate><creator>Del Puppo, Lola</creator><creator>Janssens, Jean-Paul</creator><creator>Kherad, Omar</creator><creator>Younossian, Alain Bigin</creator><creator>Frésard, Isabelle</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20160203</creationdate><title>Bone tuberculosis: when consider this diagnosis?</title><author>Del Puppo, Lola ; Janssens, Jean-Paul ; Kherad, Omar ; Younossian, Alain Bigin ; Frésard, Isabelle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p566-9c07e70ece006aa12eca3e4a4238088e21633b6f7e54849944db184bca45a4473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2016</creationdate><topic>Back Pain - etiology</topic><topic>Biopsy</topic><topic>Discitis - diagnosis</topic><topic>Discitis - epidemiology</topic><topic>Discitis - microbiology</topic><topic>Humans</topic><topic>Mycobacterium tuberculosis - isolation & purification</topic><topic>Switzerland - epidemiology</topic><topic>Tuberculosis, Osteoarticular - diagnosis</topic><topic>Tuberculosis, Osteoarticular - epidemiology</topic><topic>Tuberculosis, Osteoarticular - pathology</topic><topic>Tuberculosis, Spinal - diagnosis</topic><topic>Tuberculosis, Spinal - epidemiology</topic><topic>Tuberculosis, Spinal - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Del Puppo, Lola</creatorcontrib><creatorcontrib>Janssens, Jean-Paul</creatorcontrib><creatorcontrib>Kherad, Omar</creatorcontrib><creatorcontrib>Younossian, Alain Bigin</creatorcontrib><creatorcontrib>Frésard, Isabelle</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revue médicale suisse</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Del Puppo, Lola</au><au>Janssens, Jean-Paul</au><au>Kherad, Omar</au><au>Younossian, Alain Bigin</au><au>Frésard, Isabelle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bone tuberculosis: when consider this diagnosis?</atitle><jtitle>Revue médicale suisse</jtitle><addtitle>Rev Med Suisse</addtitle><date>2016-02-03</date><risdate>2016</risdate><volume>12</volume><issue>504</issue><spage>262</spage><epage>265</epage><pages>262-265</pages><issn>1660-9379</issn><abstract>The most common presentation of bone tuberculosis (TB) is called spondylodiscitis, or "Pott's disease", which is a difficult diagnosis due to its low prevalence in Switzerland. 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| ispartof | Revue médicale suisse, 2016-02, Vol.12 (504), p.262-265 |
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| language | fre |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Back Pain - etiology Biopsy Discitis - diagnosis Discitis - epidemiology Discitis - microbiology Humans Mycobacterium tuberculosis - isolation & purification Switzerland - epidemiology Tuberculosis, Osteoarticular - diagnosis Tuberculosis, Osteoarticular - epidemiology Tuberculosis, Osteoarticular - pathology Tuberculosis, Spinal - diagnosis Tuberculosis, Spinal - epidemiology Tuberculosis, Spinal - pathology |
| title | Bone tuberculosis: when consider this diagnosis? |
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