One of the type of extrapulmonary tuberculosis that affects, above all, the spine, long bones and joints is bone tuberculosis (TB). The authors report a case involving a 12-year-old child with a pain and deformity complaint that had lasted for two years in the lower thoracic zone. In addition to the positivity of the molecular test based on the polymerase chain reaction, clinical, epidemiological and laboratory features associated with photos of obvious damage to the T9-T10 and T11-T12 vertebrae acquired by thoracic spine radiography and nuclear magnetic resonance, tuberculous spondylitis was diagnosed and specific therapy was initiated. After thirty days, the vertebral biopsy culture was positive for Mycobacterium tuberculosis. Measures that assist with patient prognosis are the early identification of illness and referral to a specialist facility for rapid diagnostic investigation. Pediatricians should be vigilant when they experience chronic instances of back pain and arthralgia in endemic areas.
Author(s) Details
Fabiana Cristina Fulco Santos
Laboratório de Imunoepidemilogia,
Departamento de Imunologia, Centro de Pesquisas Aggeu Magalhães, Fundação
Oswaldo Cruz, Recife, PE, Brazil.
André Luiz Alves do Nascimento
Laboratório de Imunoepidemilogia, Departamento de Imunologia, Centro de Pesquisas
Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, PE, Brazil.
Laís Ariane de Siqueira Lira
Laboratório de Imunoepidemilogia, Departamento de Imunologia, Centro de
Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, PE, Brazil.
Juliana Figueirêdo da Costa Lima
Laboratório de Imunoepidemilogia, Departamento de Imunologia, Centro de
Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, PE, Brazil.
Rosana de Albuquerque Montenegro
Laboratório de Imunoepidemilogia, Departamento de Imunologia, Centro de
Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, PE, Brazil.
Lilian Maria Lapa Montenegro
Laboratório de Imunoepidemilogia, Departamento de Imunologia, Centro de
Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, PE, Brazil.
Haiana Charifker Schindler
Laboratório de Imunoepidemilogia, Departamento de Imunologia, Centro de
Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, PE, Brazil.
View Book:- https://stm.bookpi.org/CDHR-V5/issue/view/7
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