SciELO - Scientific Electronic Library Online

vol.37 issue 1Severe hyponatremia and normotensive hydrocephalus in the adult: Report of a caseMedical Humanities at the School of Medicine - UdelaR author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links


Archivos de Medicina Interna

Print version ISSN 0250-3816On-line version ISSN 1688-423X


GRANA, Diego et al. Tuberculous spondylodiscitis: use of complementary tests with a new perspective: A report of two cases and review of literature. Arch. Med Int [online]. 2015, vol.37, n. 1, pp.18-23. ISSN 0250-3816.

Introduction. Tuberculosis (TB) constitutes a serious health problem nowadays. It is a reemerging disease whose main risk factor is the human immunodeficiency virus (HIV) infection, in which extrapulmonary forms are much more frequent than in general population. Tuberculous spondylodiscitis (TS) represents 3% of all TB infections and 35% of extrapulmonary forms. It has an insidious clinical presentation; the diagnosis is difficult requiring imagenologic and microbiologic technics. These characteristics result in a significant diagnosis delay which impacts on patient prognosis. Materials and methods. We present two cases of TS admitted to a public hospital in Uruguay (2012-2013) in immunocompromised patients and with epidemiological notion of contact in one of them. Results. The diagnosis was done after clinical and radiological suspicion; needle aspiration guided by computed tomography was performed. The treatment was instituted with a latency exceeding three months. Discussion and conclusions. The techniques of molecular biology and immunology are now a valuable tool for early diagnosis of this disease, shortening the initiation of treatment and reducing the rate of complications associated with it.

Keywords : Vertebral tuberculosis; Pott diseasse; immunological diagnosis.

        · abstract in Spanish     · text in Spanish


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License