@article{10.11648/j.ijmcr.20220101.11,
  author = {Saharé Fongoro and Magara Samaké and Seydou Sy and Hamadoun Yattara and Moctar Coulibaly and Aboubacar Sidiki Fofana and Djénèba Diallo and Atabième Kodio and Djénéba Maiga and Sah Dit Baba Coulibaly and Nanko Doumbia and Aboudou Messoum Dolo and Moustapha Tangara and Nouhoum Coulibaly and Kalilou Coulibaly and Ibrahima Koné},
  title = {Tuberculous Spondylodiscitis (Pott's Disease) in Hemodialysis Patients: A Case Report from the Point G University Hospital, Bamako, Mali},
  journal = {International Journal of Medical Case Reports},
  volume = {1},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.ijmcr.20220101.11},
  url = {https://doi.org/10.11648/j.ijmcr.20220101.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmcr.20220101.11},
  abstract = {Introduction. Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. As of 2018, the World Health Organization (WHO) reports that approximately 10 million people worldwide have it. Tuberculosis is one of the top 10 causes of death. Spinal tuberculosis represents 50 to 60% of osteoarticular tuberculosis. Three main radioclinic forms have been described: tuberculous spondylodiscitis or Pott's disease, tuberculous spondylitis and primary tuberculosis of the posterior arch. The early diagnosis of spinal tuberculosis has become easy thanks to the progress of imaging and the development of disco-vertebral biopsy techniques. Chronic hemodialysis patients are particularly at risk of tuberculosis. Spondylodiscitis is more frequent in this population and threatens the vital prognosis. Observation: We report two cases of tuberculous spondylodiscitis diagnosed in the context of pelvic and lumbar pain. The biological work-up noted an inflammatory hypochromic microcytic anemia. The infectious workup was negative. MRI and CT scans showed lumbar spondylodiscitis in both cases. No disco-vertebral biopsy was performed. The diagnosis of tuberculous spondylodiscitis was made on the basis of clinical and imaging findings. A quadrithérapie anti bacillaire was instituted. The short-term evolution was favorable with disappearance of the pain, but one patient died of an unclear cause because the death occurred at home. Conclusion: Spinal tuberculosis is far from being rare in hemodialysis patients in Mali. It should always be considered in the presence of unlabelled pain, which will lead to the request of imaging examinations in order to evoke the diagnosis and to initiate antituberculosis treatment.},
 year = {2022}
}

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TY  - JOUR
T1  - Tuberculous Spondylodiscitis (Pott's Disease) in Hemodialysis Patients: A Case Report from the Point G University Hospital, Bamako, Mali
AU  - Saharé Fongoro
AU  - Magara Samaké
AU  - Seydou Sy
AU  - Hamadoun Yattara
AU  - Moctar Coulibaly
AU  - Aboubacar Sidiki Fofana
AU  - Djénèba Diallo
AU  - Atabième Kodio
AU  - Djénéba Maiga
AU  - Sah Dit Baba Coulibaly
AU  - Nanko Doumbia
AU  - Aboudou Messoum Dolo
AU  - Moustapha Tangara
AU  - Nouhoum Coulibaly
AU  - Kalilou Coulibaly
AU  - Ibrahima Koné
Y1  - 2022/04/22
PY  - 2022
N1  - https://doi.org/10.11648/j.ijmcr.20220101.11
DO  - 10.11648/j.ijmcr.20220101.11
T2  - International Journal of Medical Case Reports
JF  - International Journal of Medical Case Reports
JO  - International Journal of Medical Case Reports
SP  - 1
EP  - 5
PB  - Science Publishing Group
SN  - 2994-7049
UR  - https://doi.org/10.11648/j.ijmcr.20220101.11
AB  - Introduction. Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. As of 2018, the World Health Organization (WHO) reports that approximately 10 million people worldwide have it. Tuberculosis is one of the top 10 causes of death. Spinal tuberculosis represents 50 to 60% of osteoarticular tuberculosis. Three main radioclinic forms have been described: tuberculous spondylodiscitis or Pott's disease, tuberculous spondylitis and primary tuberculosis of the posterior arch. The early diagnosis of spinal tuberculosis has become easy thanks to the progress of imaging and the development of disco-vertebral biopsy techniques. Chronic hemodialysis patients are particularly at risk of tuberculosis. Spondylodiscitis is more frequent in this population and threatens the vital prognosis. Observation: We report two cases of tuberculous spondylodiscitis diagnosed in the context of pelvic and lumbar pain. The biological work-up noted an inflammatory hypochromic microcytic anemia. The infectious workup was negative. MRI and CT scans showed lumbar spondylodiscitis in both cases. No disco-vertebral biopsy was performed. The diagnosis of tuberculous spondylodiscitis was made on the basis of clinical and imaging findings. A quadrithérapie anti bacillaire was instituted. The short-term evolution was favorable with disappearance of the pain, but one patient died of an unclear cause because the death occurred at home. Conclusion: Spinal tuberculosis is far from being rare in hemodialysis patients in Mali. It should always be considered in the presence of unlabelled pain, which will lead to the request of imaging examinations in order to evoke the diagnosis and to initiate antituberculosis treatment.
VL  - 1
IS  - 1
ER  - 

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