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Use of Ultra-high Field MRI in Small Rodent Models of Polycystic Kidney Disease for In Vivo Phenotyping and Drug Monitoring
Published on: June 23, 2015
[Pott's disease and different clinical presentations Pott's disease and different clinical presentations]
A Berna Dursun1, Z Müjgan Güler, Kivanç Budak
1Atatürk Research and Educational Centre Chest Medicine and Thoracic Surgery, Ankara, Turkey. ebdursun@superonline.com
Abstract:
Skeletal tuberculosis remains a potentially crippling disease in the developing world; particularly as it usually affects children and young adults. The spine is involved approximately 50% of bone and joint tuberculosis cases. The features of four spinal tuberculosis cases were looked over this article. Their ages were between 18 and 76 years. All of them were male and immunocompetent. Pain was the major complaint. There was no life-threatening neurological sign. Among them, a case who was admitted to the hospital with painful torticollis had upper cervical-lower thoracic spinal tuberculosis with psoas abscesses and peritoneal tuberculosis, but no pulmonary involvement. The other cases had thoracolumbal spinal tuberculosis with psoas abscesses and pulmonary tuberculosis of which miliary, chronic and new pulmonary tuberculosis. The whole diagnosis of spinal tuberculosis was made by radiographically-MRI and CT-. Specific antituberculous therapy with supportive care was begun and remarkable responses without surgical intervention were seen on them except miliary pulmonary tuberculosis case. The aim of this presentation was to emphasize the importance of early diagnosis so that adequate pharmacological treatment can be initiated to avoid serious complication.
Insights
Spinal tuberculosis, a significant cause of bone and joint disease, often affects young adults. Early diagnosis and pharmacological treatment are crucial for managing spinal tuberculosis and preventing complications.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Skeletal tuberculosis is a debilitating condition, disproportionately affecting young populations in developing regions.
- The spine is a common site for osteoarticular tuberculosis, accounting for approximately 50% of cases.
- Early detection and management are vital to prevent severe outcomes.
Observation:
- This study reviewed four immunocompetent adult male cases of spinal tuberculosis (ages 18-76).
- The primary symptom was pain, with no critical neurological deficits observed.
- Case presentations included upper cervical-lower thoracic and thoracolumbar involvement, with associated psoas abscesses, peritoneal tuberculosis, and varied pulmonary tuberculosis presentations (miliary, chronic, new).
Findings:
- Diagnosis was confirmed using Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scans.
- All patients received specific antitubercular therapy and supportive care.
- Remarkable clinical improvement was observed in three cases without surgical intervention, while one case with miliary pulmonary tuberculosis showed a less favorable response.
Implications:
- The findings underscore the importance of early diagnosis of spinal tuberculosis.
- Prompt initiation of pharmacological treatment can lead to significant recovery and help avoid surgical interventions.
- This highlights the need for timely medical intervention to mitigate the severity of skeletal tuberculosis.
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