Potts disease is a type of tuberculosis which mainly manifests itself through certain complications in the vertebral bones. We are describing a rare case of potts disease where mycobacterium xenopi was the inculpated organism. The spinal cord is infected by mycoplasma tuberculosis via the lymph nodes or the blood. Potts disease in a mummy of a priest of ammon, 21st dynasty wellcome m0019338. Doctors dont know exactly what causes pots, but episodes seem to begin after trauma, major surgery, a viral illness, just before. Update on the surgical management of potts disease core.
Since pots is not a disease, it is fair to say that pots is caused by something else. A cross sectional study, on medical records, was conducted in the rheumatology department of the chu brazzaville, from january 1st 20 to 30 june 2017 4 years and 6 months. Active tuberculosis and hiv disease start tb medications immediately treatment duration extended to 912 months initiate art within. Pott disease, or potts disease, is a form of tuberculosis that occurs outside the lungs whereby disease is seen in the vertebrae. Potts disease is also known as tuberculosis spondylitis or spinal tuberculosis. There were 28 patients, who were clinically diagnosed as a case of potts disease. Orthostatic intolerance causes lightheadedness or fainting that can be eased by lying back down. Prevalence in india pathology pathogenesis clinical features diagnosis complications treatment. Although it is primarily a lung disease, some of the tissues present outside the lungs are also affected. Potts disease epidemiology and demographics wikidoc.
Cd4 50 with severe clinical disease initiate art in. Potts disease, its pathology and mechanical treatment. Potts disease resulting in complete cervical vertebral destruction. Case report atypical staphylococcus aureus infection and. Full text full text is available as a scanned copy of the original print version. Main differential diagnoses of potts disease are other causes of infectious spondylodiscitis. Open compound if the bone has protruded through the skin or an object has punctured through skin making an opening to the fracture site. Although it is rare in the developed countries, in the developing countries with limited healthcare systems it. Pot syndrome pots, postural orthostatic tachycardia syndrome is a heart condition that involves the bodys blood vessels.
Tuberculosis can affect several tissues outside the lungs including the spine, a kind of tuberculous arthritis of the intervertebral joints. Iowa tuberculosis control program 2012 annual report. Laboratory acute elevated esr increased wbc blood cultures 50% are positive bone culturebiopsy other phase reactants urine cultures chronic. Evidence of its main characteristic a severely curved upper spine has been found in the. Potts disease is often experienced as a local phenomenon that begins in the thoracic section of the spinal column. Eventually, cervical spine radiographs were obtained that revealed complete cervical vertebral body destruction from spinal tuberculosis. Stress pathologic caused by weakness or disease, or too much weight or pressure. Tuberculosis tb continues to impose a significant clinical and socioeconomic burden globally. Postural orthostatic tachycardia syndrome rare disease. Pyogenic infections are the commonest, usually caused by staphylococcus aureus or gramnegative bacteria. Early signs of the presence of potts disease generally begin with back pain that may seem to be due to simple muscle strain.
Potts disease is the most common form of skeletal tuberculosis tb in developing world and constitutes % of all cases of tb. The source of infection is usually outside the spine. Throughout history, people called tb by many names including consumption, phthisis, scrofula, potts disease and the white plague. Historical aspects of potts disease spinal tuberculosis management. Pot syndrome causes, symptoms, treatments, and diets. It has been found in relics from ancient egypt, india, and china. Use proper dosing of antituberculosis drugs in pediatric patients. View abstract kapoor s, kapoor s, agrawal m, aggarwal p, jain bk jr.
Potts disease nursing, medical, surgical managements. The most common disease belonging to this category is spondylitis. In children, pott s disease can be a primary infection and be located in the vertebra, resulting in discitis before progressing to spondylodiscitis. Potts disease medical management ideal non operative treatment. Potts disease is a rare form of extrapulmonary tuberculosis, and presents with several clinical patterns. Tb contact investigation training april 56, 2016 curry. Pott s disease is an infection of the spine with mycobacterium tuberculosis that causes destruction of the spine elements resulting in progressive kyphosis. Potts disease risk factors on the web most recent articles. Pott s disease is a form of tuberculosis and is one of the oldest documented diseases in humanity. Potts disease, also known as tuberculosis spondylitis, is a rare infectious disease of the spine which is typically caused by an extraspinal infection.
Pot syndrome pots, postural orthostatic tachycardia syndrome is a heart condition that involves the body s blood vessels. Pdf on apr 6, 2014, saranapoom klomjit and others published potts disease find, read and cite all the research you need on researchgate. Percival pott was the first person to present the classic description of spinal tuberculosis tb in 1779. Tuberculous spondylitis spinal tuberculosis, multilevel, noncontiguous, potts disease introduction tuberculous spondylitis ts, also called spinal tuberculosis, potts spine or potts disease is a common extrapulmonary manifestation of tu berculosis tb, accounting for 50% of skeletal tb 1. It is associated with significant morbidity and can lead to severe functional impairment. Pott disease tuberculous spondylitis statpearls ncbi bookshelf. Early diagnosis of spinal tuberculosis sciencedirect. Since the symptoms and the features of individual ts vary greatly, ts is often misdiagnosed. Media in category potts disease the following 19 files are in this category, out of 19 total. Potts disease tb of spine destroys disk vertebral collapse spinal cord compression. Patients with pott s disease most commonly present with focal pain in the spine, but they also may complain of constitutional symptoms including fever, chills, weight loss, malaise, anorexia, and fatigue.
Pots is a heterogeneous meaning it has many causes group of disorders with similar clinical manifestations. Skeletal tuberculosis tb refers to tb involvement of the bones andor joints. Postural orthostatic tachycardia syndrome pots is a condition that affects circulation blood flow. The members of the commission learned that shamkhan aziev had been confined to bed for over three months, could hardly move his legs and suffers from severe back pain. Incidence potts disease is usually found in individuals potts disease and the white plague. While there has been significant progress in the diagnosis and management of the infection in recent decades, many challenges remain. We are describing a rare case of pott s disease where mycobacterium xenopi was the inculpated organism. Postural orthostatic tachycardia syndrome pots is a circulatory disorder that can make you feel faint and dizzy.
Potts disease is a combination of osteomyelitis and arthritis which involves multiple vertebrae. Thoracoscopic decompression in potts spine and its longterm followup. Apply proper techniques for application and reading of tsts. Although tuberculosis tb is an ancient disease, it remains a major global public health problem. Aug 08, 2019 pott disease, also known as tuberculous spondylitis, is one of the oldest demonstrated diseases of humankind, having been documented in spinal remains from the iron age in europe and in ancient mummies from egypt and the pacific coast of south america. It is most often spread from the lungs via the blood. Potts disease, was first described by percival pott in 1779 1, 2. If erosion continues unchecked, there is complete destruction of the affected vertebrae. Cd450 without severe clinical disease initiate art in. The clinical characteristics of spinal tuberculosis includes local pain, local tenderness, stiffness and spasm of the muscles, a cold abscess and kyphosis deformity. Surgical management of potts disease of the spine in.
The disease is named after percivall pott 17141788, a british surgeon. Closed simplethere is no opening in the skin complete break goes completely through bone. Seeding of the vertebrae may occur through hematogenous spread from the respiratory tract at the time of primary infection, with clinical disease developing years. Jan 25, 2017 the usual sites to be involved in spinal tuberculosis are the lower thoracic and upper lumbar vertebrae. He noted this as a painful kyphotic deformity of the spine associated with paraplegia. Sep 30, 2017 i discussed the pott s disease vertebral tuberculosis or tb cause, symptoms, pathology and the treatment. Pots is a form of orthostatic intolerance, the development of symptoms that come on when standing up from a reclining position, and that may be relieved by sitting or lying back down. The diagnosis of skeletal tb is difficult, given that bacilli are sparse and the culture of pus or tissue rarely positive. Potts disease is the most common form of skeletal tuberculosis, and constitutes about 50% of all cases of skeletal tuberculosis.
Potts disease treatment and pathology and the real case. Patients with an age 18 years were included, with a diagnosis of potts disease proven by clinical, paraclinical or therapeutic evidence. If it infects the spine, it causes potts disease, which involves curvature of the spine. Potts disease in a mummy of a priest of ammon, 21st. Pott disease, also called tuberculous spondylitis or tuberculosis of the spine, disease caused by infection of the spinal column, or vertebral column, by the tuberculosis bacillus, mycobacterium tuberculosis.
Tuberculosis tb, as a disease has been known since ancient times. More properly known as tuberculosis spondylitis, potts disease is named after dr. The morbidity and mortality rate due to spinal tb is higher than other infections in developing. Potts disease pd or spinal tuberculosis is a rare infectious disease. Resources wilson disease association wda international mayo clinic merck manual. There is a combination of osteomyelitis and infective arthritis. Potts disease definition of potts disease by medical. Diagnosis and management of tuberculosis pdf book manual. Any information contained in this pdf file is automatically generated from digital.
The diagnosis tends to be delayed because of a nonspecific initial early manifestations andor low degree of suspicion. Neurological symptoms are present in 50 percent of patients. This file is licensed under the creative commons attribution 4. Pott s disease of the spine may mimic other disease processes, and thus a definite list of differential diagnosis should be kept in mind before proceeding with specific treatment. Symptoms include lightheadedness and fainting when standing from a seated or lying position. Pott disease is tuberculosis of the spine, usually due to haematogenous spread from other sites. The condition is named after an english surgeon, sir. Pott disease tuberculous tb spondylitis differential. Potts disease typically presents with back pain or stiffness in the absence of other symptoms, and sometimes develops into weakness or paralysis of the lower extremities potts paraplegia if diagnosis is delayed. Potts disease is an infection of the spine with mycobacterium tuberculosis that causes destruction of the spine elements resulting in progressive kyphosis. First described in 1779 by percival pott, potts disease, or tuberculosis spondylodiscitis is the most frequent extrapulmonary, osteoarticular location of mycobacterium tuberculosis. Jan 23, 2017 postural orthostatic tachycardia syndrome pots is a condition characterized by too little blood returning to the heart when moving from a lying down to a standing up position orthostatic intolerance. Potts disease, also known as tuberculosis spondylitis, is a rare infectious.
Unlike pott disease, they tend to cause severe back pain and constitutional symptoms. Media in category pott s disease the following 19 files are in this category, out of 19 total. This is also caused tuberculous spondylitis if it infects the skin. Find powerpoint presentations and slides using the power of, find free presentations research about pott s disease ppt. If it infects the spine, it causes potts disease, which involves ppt.
Symptoms include stiffness of the back, pain on motion, prominence of the spinous. Learn more about the symptoms, causes, and treatment of this condition. The following lesions should be considered and ruled outatypical mycobacterial or nontuberculous infectionspyogenic, fungal, hydatid, etc. Complications of the disease can be devastating because of its ability to cause bone destruction, spinal deformity and paraplegia. Pictorial assay of mri imaging findings in potts spine epos.
Aug 08, 2019 pott disease, also known as tuberculous spondylitis, is a classic presentation of extrapulmonary tuberculosis tb. Pott disease, disease caused by infection of the spinal column, or vertebral column, by the tuberculosis bacillus, mycobacterium tuberculosis. The role of surgery in the management of potts disease in. Pott disease is characterized by softening and collapse of the vertebrae, often resulting in a hunchback curvature of the spine. Pdf spinal tuberculosis tb or potts spine is the commonest extrapulmonary. A particular form of this disease known as ankylosing spondylitis affects nearly 0. New molecules have been developed for classic medical management with antituberculosis drugs. A case report of disseminated potts disease spinal tuberculosis. Feb 26, 2011 potts disease nursing, medical, surgical managements 1.
Shamkhan aziev suffers from potts disease at l5s1 with compression of the dural sac, constant lumbodynia, and bilateral radicular syndrome. Oct 18, 2010 takehome points pott s disease can be a indolent cause of back pain without necessarily any systemic symptoms of tuberculosis progression can lead to major deformity or neurologic consequences tuberculosis should be considered in any case of vertebral osteomyelitis or diskitis most patients do well with prolonged 4drug antitb therapy. Case report atypical, multilevel and noncontiguous. Diagnosis of potts disease was confirm based on mri imaging and microscopically. Pdf potts disease with clinicoradiological evidence 4. Pott s disease risk factors on the web most recent articles. Pott s disease is a rare form of extrapulmonary tuberculosis, and presents with several clinical patterns. Because tb can manifest itself in any part of the body, scientist did not identify it as a unified disease until the 1820s and j. Among egyptian mummies spinal tb, known as potts disease has been detected by archaeologists. Get a printable copy pdf file of the complete article 2. View and download powerpoint presentations on pott s disease ppt. You may do so in any reasonable manner, but not in any.
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