Vertebral destruction in an 11-month-old child with spinal tuberculosis: a case report and review of literature

Leos-Leija, Ana Karen; Padilla-Medina, José Ramón; Reyes-Fernández, Pedro Martín; Peña-Martínez, Víctor M.; Montes-Tapia, Fernando Félix; Castillo-Bejarano, José I.

doi:10.1186/s43159-022-00160-9

Vertebral destruction in an 11-month-old child with spinal tuberculosis: a case report and review of literature

Authors

Abstract

Background
The incidence of tuberculosis is increasing especially in endemic countries. Spinal tuberculosis represents nearly the 50% of reported cases of skeletal tuberculosis. This is the youngest case of spinal tubercular disease that has been reported. The objective of this report is to describe a spinal tuberculosis case in an infant in thoracic spine, in order to show the importance of early diagnosis in this population, to limit the progression of this highly destructive disease and reduce the severe sequelae that this disease is associated.
Case presentation
An 11-month-old infant previously healthy born in the northeast Mexico. Physical examination revealed a mass lesion in the dorsal region, fixed to deep planes, indurated. Neurological examination found Frankel C paraparesis showing muscle strength 2/5 on the Lovett scale in both lower extremities, anal reflex present, and preserved sensitivity.
Conclusion
The spinal tuberculosis is a disease that occurs in endemic countries. A prompt diagnosis is necessary to limit the progression of a highly destructive disease. In addition, the fact of presenting at an early age produces hard making decisions for the adequate treatment of the disease and reduces the adverse effects of these procedures.

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