Keywords
Tuberculosis Spinal
Tuberculosis. Pleural Mycobacterium
Tuberculosis. Pott’s Disease
How to Cite
Abstract
Extrapulmonary tuberculosis represents up to 25% of all cases of tuberculosis. The most frequently affected organs are lymph nodes,
pleura and bone. Around 10-11% of cases of extrapulmonary tuberculosis have osteoarticular involvement and a half of them present
vertebral involvement. The infection is caused by hematogenous spread of the bacillus from a primary focus to the cancellous bone
of the thoracic or lumbar vertebral bodies mainly. The characteristic symptom is the chronic pain in the spine, usually in the affected
site, without other concomitant symptoms or signs. The association between vertebral tuberculosis and pleural involvement without
an established pulmonary focus is infrequent, it has been described in 2.5% of patients, an intrigue about its pathophysiology. Similar
cases in Colombia have not been reported. This article describes a case of a young patient with a history of chronic low back pain that
debuts with persistent respiratory symptoms associated with constitutional symptoms; whose Mycobacterium tuberculosis infection was proven in thoracolumbar vertebrae and pleura. This case shows an atypical natural history of the disease, in which the thophysiological mechanism of the disease would seem to have been the direct dissemination by contiguity, and emphasizes the importance of clinical suspicion to ensure timely diagnosis and treatment. MÉD.UIS.2020;33(3): 67-73.
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