Pott's Disease in Tuberculosis - Diagnosis and Management ...

Pott's Disease in Tuberculosis - Diagnosis and Management Summary


 - Typically from TB endemic areas

 - 1-5% of patients with TB

 - 10% of extrapulmonary cases

Clinical Signs/Symptoms:

 - Insidious, progressive back pain

 - Symptoms may range from a few months to several years

 - May have signs/symptoms of active pulmonary TB


 - Local pain at thoracic/lumbar segment

 - "Gibbus deformity"

 - Assess for weakness, pain, numbness, decreased reflexes


 - Mycobacterium tuberculosis complex

 - Spread of bacilli to bone/joints via hematogenous dissemination


 - MRI is modality of choice to visualize soft tissue damage

 - CXR should be done in ALL patients to assess for concomitant pulmonary involvement

 - CT guided needle aspiration or excisional biopsy

 - Detection of AFB by smear microscopy


 - Initial intensive RIPE therapy for 2 month

 - Continuation phase with Isoniazid and Rifampin for 4-7 months +/- Surgical intervention

CMC IM Residency @CMC_IM

#Potts #Disease #Tuberculosis #TB #Diagnosis #Management #Summary
Contributed by

Dr. Gerald Diaz
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/

Related content