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Published in: Journal of Medical Case Reports 1/2017

Open Access 01-12-2017 | Case report

Noncontiguous multi-tiered spinal tuberculosis associated with sternal localization: a case report

Authors: Mariam Erraoui, Bouchra Amine, Latifa Tahiri, Imane El Binoune, Jihane Bahha, Najia Hajjaj-Hassouni

Published in: Journal of Medical Case Reports | Issue 1/2017

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Abstract

Background

Tuberculous spondylodiscitis is a frequent localization of tuberculosis. Multi-tiered involvement and an association with sternal localization are rare.

Case presentation

We report a case of multi-tiered tuberculous spondylodiscitis with sternal localization in an immunocompetent 41-year-old Arab woman who had inflammatory bilateral sciatica L5 and S1 and a history of low back pain caused by a trauma. Radiography, computed tomography, and a vertebral biopsy were useful for diagnosis. She reacted well to anti-bacillary treatment despite the occurrence of multiple paravertebral and subcutaneous abscesses. The medullar magnetic resonance imaging control performed at 4 months, 12 months, and 1 year after the end of treatment showed a favorable evolution.

Conclusions

To avoid the delay of diagnosis, especially in our endemic context, tuberculosis must be evoked usually. This will improve the prognosis of our patients.
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Metadata
Title
Noncontiguous multi-tiered spinal tuberculosis associated with sternal localization: a case report
Authors
Mariam Erraoui
Bouchra Amine
Latifa Tahiri
Imane El Binoune
Jihane Bahha
Najia Hajjaj-Hassouni
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2017
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-017-1323-2

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