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Published on: November 1, 2015
Cervical tuberculous spondylitis associated with systemic lupus erythematosus
M Berker1, B Atalay, F Söylemezoğlu
1Department of Neurosurgery, Hacettepe University School of Medicine, Sihhiye, Ankara, 06100, Turkey.
Spinal Cord
|October 20, 2001
Summary
This case report details a rare instance of cervical tuberculous spondylitis in a patient with systemic lupus erythematosus (SLE). Early diagnosis and treatment are crucial for managing this opportunistic infection in SLE patients.
Area of Science:
- Rheumatology
- Infectious Diseases
- Spinal Surgery
Background:
- Systemic lupus erythematosus (SLE) patients face increased infection risk, particularly those with disease complications.
- Tuberculous spondylitis is an uncommon complication in SLE, with cervical involvement being exceptionally rare.
Observation:
- A 54-year-old female with a 10-year history of SLE, treated with corticosteroids and colchicine, presented with persistent neck pain.
- Radiological findings indicated severe destruction of the C5-C6 cervical vertebrae.
- Surgical intervention involved debridement and anterior cervical fusion with an autogenous bone graft.
Findings:
- The patient was diagnosed with cervical tuberculous spondylitis, a previously unreported manifestation in SLE.
- High-dose corticosteroid therapy for SLE was identified as a significant risk factor for this opportunistic infection.
Implications:
- Highlights the importance of considering opportunistic infections like tuberculosis in SLE patients, especially those on immunosuppressive therapy.
- Emphasizes the need for early diagnosis, prompt medical and surgical management, and heightened clinical awareness to improve outcomes in SLE patients susceptible to infections.
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