Same, but is it similar? a case report

Tuberculous spondylitis may be imposable to differentiate from pyogenic vertebral osteomyelitis and other primary or metatastatic tumours based on clinical and radiographic findings. There are no specific features that are pathognomonic of tuberculous spondylitis. Common finding that arouse suspicio...

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Main Authors:	Awang, Mohd Shukrimi, Abdul Rashid, Amran, Mohd Ghalib, Razali, Che Ahmad, Aminudin, Harun, Nora
Format:	Conference or Workshop Item
Language:	English
Published:	2007
Subjects:	RB Pathology RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/41070/ http://irep.iium.edu.my/41070/ http://irep.iium.edu.my/41070/1/6.pdf

id	iium-41070
recordtype	eprints
spelling	iium-410702015-03-13T07:16:33Z http://irep.iium.edu.my/41070/ Same, but is it similar? a case report Awang, Mohd Shukrimi Abdul Rashid, Amran Mohd Ghalib, Razali Che Ahmad, Aminudin Harun, Nora RB Pathology RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics Tuberculous spondylitis may be imposable to differentiate from pyogenic vertebral osteomyelitis and other primary or metatastatic tumours based on clinical and radiographic findings. There are no specific features that are pathognomonic of tuberculous spondylitis. Common finding that arouse suspicion are rarefaction of the vertebral endplates, disc-space narrowing, anterior wedging and paravetebral mass. However, these finding are also presence in other condition such as metastases. Two patients of different groups with almost similar presentation and imaging findings and the issues affecting their clinical course are discussed. They were a 56 year old man and a 28 year old man respectively who presented with history of bilateral lower limbs weakness of grade 3 and reduced sensation from T7 and T6 respectively. MRI showed infective process with large paravertebral mass at the level of T6-8 and T4-9 respectively. In case one o the thorax and abdomen showed small lung lesion and right adrenal mass. In case two, the histopathology supported the diagnosis of TB. Both cases presented with similar complaint although from the different age group. In this region, tuberculosis is very common. However, a high index of suspicion, together with biopsy will increase the chances of correct diagnosis. It is difficult to differentiate spinal tuberculosis and spine metastasis clinically. The imaging findings are not diagnostic. A decision to get tissue biopsy increase the chances of the accurate diagnosis. Management is depending on individual patient. 2007 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/41070/1/6.pdf Awang, Mohd Shukrimi and Abdul Rashid, Amran and Mohd Ghalib, Razali and Che Ahmad, Aminudin and Harun, Nora (2007) Same, but is it similar? a case report. In: Fifth SICOT.SIROT Annual International Conference, 29 August - 1 September 2007, Marrakech, Morocco. http://www.morthoj.org/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RB Pathology RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics
spellingShingle	RB Pathology RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics Awang, Mohd Shukrimi Abdul Rashid, Amran Mohd Ghalib, Razali Che Ahmad, Aminudin Harun, Nora Same, but is it similar? a case report
description	Tuberculous spondylitis may be imposable to differentiate from pyogenic vertebral osteomyelitis and other primary or metatastatic tumours based on clinical and radiographic findings. There are no specific features that are pathognomonic of tuberculous spondylitis. Common finding that arouse suspicion are rarefaction of the vertebral endplates, disc-space narrowing, anterior wedging and paravetebral mass. However, these finding are also presence in other condition such as metastases. Two patients of different groups with almost similar presentation and imaging findings and the issues affecting their clinical course are discussed. They were a 56 year old man and a 28 year old man respectively who presented with history of bilateral lower limbs weakness of grade 3 and reduced sensation from T7 and T6 respectively. MRI showed infective process with large paravertebral mass at the level of T6-8 and T4-9 respectively. In case one o the thorax and abdomen showed small lung lesion and right adrenal mass. In case two, the histopathology supported the diagnosis of TB. Both cases presented with similar complaint although from the different age group. In this region, tuberculosis is very common. However, a high index of suspicion, together with biopsy will increase the chances of correct diagnosis. It is difficult to differentiate spinal tuberculosis and spine metastasis clinically. The imaging findings are not diagnostic. A decision to get tissue biopsy increase the chances of the accurate diagnosis. Management is depending on individual patient.
format	Conference or Workshop Item
author	Awang, Mohd Shukrimi Abdul Rashid, Amran Mohd Ghalib, Razali Che Ahmad, Aminudin Harun, Nora
author_facet	Awang, Mohd Shukrimi Abdul Rashid, Amran Mohd Ghalib, Razali Che Ahmad, Aminudin Harun, Nora
author_sort	Awang, Mohd Shukrimi
title	Same, but is it similar? a case report
title_short	Same, but is it similar? a case report
title_full	Same, but is it similar? a case report
title_fullStr	Same, but is it similar? a case report
title_full_unstemmed	Same, but is it similar? a case report
title_sort	same, but is it similar? a case report
publishDate	2007
url	http://irep.iium.edu.my/41070/ http://irep.iium.edu.my/41070/ http://irep.iium.edu.my/41070/1/6.pdf
first_indexed	2023-09-18T20:58:50Z
last_indexed	2023-09-18T20:58:50Z
_version_	1777410486553280512

Same, but is it similar? a case report

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