Views: 1,346 | Downloads:
29
| Responses: 0
| XML | Respond to this article | Alert & updates | Request permissions | Email to a friend |
Original ArticleOpen Access
Clinical Manifestation of Tuberculous and Pyogenic Spine Infection
Buranapanitkit B 
,
Lim A ,
Kiriratnikom T
,
Lim A ,
Kiriratnikom T BOONSIN BURANAPANITKIT, M.D.*,
APIRADEE LIM, B.Sc.**,
THEERASAN KIRIRATNIKOM, M.D.*
The authors compared clinical and baseline parameters between patients with tuberculous
spondylitis (67 patients) and pyogenic vertebral osteomyelitis (34 patients). The average age was
50.8 (rarige, 1 to 82 years). Males were slightly more predominant in both pyogenic and tubercu-
lous infections. Seventy per cent of patients with pyogenic infection had had symptoms for less than
3 months, while this was the case for only 44 per cent of the tuberculous patients. Lumbar spine
was the most common site of involvement. Associated infections were more commonly found in
tuberculous infection. Thirty per cent of tuberculous spondylitic patients were initially misdiag-
nosed, while 44 per cent of patients with pyogenic vertebral osteomyelitis had delayed diagnosis.
Only 20 per cent and 30 per cent of tuberculous and pyogenic patients had fever, respectively.
Neurological deficit occurred more frequently in pyogenic than in tuberculous infection (79%
vs
59%), while bowel bladder involvement was more commonly found in tuberculous spondylitis.
Kyphosis was significantly more common in tuberculosis than in pyogenic infection (50.8%
vs
26.5%, respectively). Sinus tract formation, subcutaneous abscess formation and positive for SLRT
(straight-leg-raising test) were found in only a small percentage of the patients. Duration of symp-
toms, site, associated infection, kyphosis and neurological deficit could be used for differentia-
tion of spinal infection.
Key word
: Clinical Manifestation, Tuberculous and Pyogenic, Spinal Infection
APIRADEE LIM, B.Sc.**,
THEERASAN KIRIRATNIKOM, M.D.*
The authors compared clinical and baseline parameters between patients with tuberculous
spondylitis (67 patients) and pyogenic vertebral osteomyelitis (34 patients). The average age was
50.8 (rarige, 1 to 82 years). Males were slightly more predominant in both pyogenic and tubercu-
lous infections. Seventy per cent of patients with pyogenic infection had had symptoms for less than
3 months, while this was the case for only 44 per cent of the tuberculous patients. Lumbar spine
was the most common site of involvement. Associated infections were more commonly found in
tuberculous infection. Thirty per cent of tuberculous spondylitic patients were initially misdiag-
nosed, while 44 per cent of patients with pyogenic vertebral osteomyelitis had delayed diagnosis.
Only 20 per cent and 30 per cent of tuberculous and pyogenic patients had fever, respectively.
Neurological deficit occurred more frequently in pyogenic than in tuberculous infection (79%
vs
59%), while bowel bladder involvement was more commonly found in tuberculous spondylitis.
Kyphosis was significantly more common in tuberculosis than in pyogenic infection (50.8%
vs
26.5%, respectively). Sinus tract formation, subcutaneous abscess formation and positive for SLRT
(straight-leg-raising test) were found in only a small percentage of the patients. Duration of symp-
toms, site, associated infection, kyphosis and neurological deficit could be used for differentia-
tion of spinal infection.
Key word
: Clinical Manifestation, Tuberculous and Pyogenic, Spinal Infection
Download:
PDF