PMID: 16629232Apr 25, 2006Paper

Tuberculous spondylitis in patients with end-stage renal disease undergoing chronic hemodialysis therapy

Clinical Nephrology
D J VerettasV Vargemezis

Abstract

Tuberculosis of the spine is not rare in immunocompromised patients and particularly in those with end-stage renal disease (ESRD). Furthermore, the possible vascular compromise of the spinal cord in patients with diabetic nephropathy may result in symptoms of neurological involvement that could lead to deterioration and paralysis. We report a series of 4 patients with ESRD undergoing dialysis that developed tuberculous spondylitis of the thoracic spine. Diabetic nephropathy was the primary cause for chronic kidney disease in 2 patients; 3 of these patients were treated conservatively with anti-tuberculous medication and orthotic splints and were cured. The fourth patient with diabetes mellitus and clinically evident signs and symptoms of severe vascular insufficiency has additionally developed incomplete paraplegia. A complete sensory recovery and partial recovery of the hip flexors and abductors within 3 months occurred, following decompression of the spine and drainage of the abscess, in combination with long-term anti-tuberculous treatment and spinal orthosis.

Citations

Feb 17, 2019·Journal of Neurosurgery. Spine·Karthik MadhavanMichael Y Wang

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antitubercular Agents

Antitubercular agents are pharmacologic agents for treatment of tuberculosis. Discover the latest research on antitubercular agents here.

Antitubercular Agents (ASM)

Antitubercular agents are pharmacologic agents for treatment of tuberculosis. Discover the latest research on antitubercular agents here.

Related Papers

Italian Journal of Neurological Sciences
D PareysonA Sghirlanzoni
Asian Pacific Journal of Tropical Medicine
Parveen Rana KunduRajeev Sen
© 2022 Meta ULC. All rights reserved