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VOLUME 2 , ISSUE 2 ( 2017 ) > List of Articles

CASE REPORT

Spinal Intramedullary Tubercular Abscess

Jitendra Singh, Yogesh Agrawal, Ruchi Agrawal, Bhawani S Sharma

Keywords : Intramedullary tuberculosis, Spinal cord tuberculosis, Tubercular abscess

Citation Information : Singh J, Agrawal Y, Agrawal R, Sharma BS. Spinal Intramedullary Tubercular Abscess. J Mahatma Gandhi Univ Med Sci Tech 2017; 2 (2):102-105.

DOI: 10.5005/jp-journals-10057-0045

License: CC BY-NC-ND 3.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Introduction Spinal intramedullary tubercular abscess is an extremely rare entity. Only few cases are reported in published literature. Case report A 30-year-old female with known case of pulmonary tuberculosis taking antitubercular treatment (ATT) for the last 6 months presented with back pain and progressive paraparesis. Her magnetic resonance imaging (MRI) dorsolumbar spine was suggestive of intramedullary abscess at D3 to D7 vertebrae level; she underwent D2 to D7 laminectomy and evacuation of pus and, subsequently, acid-fast bacilli (AFB) staining and pus culture. Mycobacterium tuberculosis was seen in both staining and culture of pus. Patient had shown signs of improvement and was discharged on 7th postoperative day. Conclusion In tuberculosis abscess, if the patient does not respond to medical management, and if progressive neurological deficit is present, surgery should be done for a definite histological diagnosis and decompression. How to cite this article Agrawal Y, Agrawal R, Sharma V, Singh J, Gupta P, Sharma BS. Spinal Intramedullary Tubercular Abscess. J Mahatma Gandhi Univ Med Sci Tech 2017;2(2):102-105.


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