Mal de Pott en un paciente pediátrico
Reporte de un caso
Abstract
Childhood tuberculosis is considered a serious infectious disease, whose agent is Mycobacterium Tuberculosis, classified as a public health problem. Extrapulmonary manifestations occur between 10% to 15% of patients with the disease and musculoskeletal involvement between 1% to 2%. For diagnosis, imaging tests and biopsy of the lesion are required for histological and microbiological study. Treatment is performed with tuberculostatic drugs and surgery to stabilize the spine. A case of Pott's disease is presented in a one-year-seven-month-old boy who presented a temperature rise accompanied by paraparesis and difficulty walking. When analyzing the imaging tests, a lesion was determined at the level of the dorsal column. The patient underwent surgery and complementary laboratory tests, biopsy. Indeed, using Zielh Nielsen staining, tuberculosis was diagnosed. The present case, of great complexity and clinical importance, highlights Pott's disease as an infrequent pathology in children characterized by a late diagnosis. In short, due to its poor prognosis, early diagnosis of this pathology is essential.
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