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A Protocol for Rapid Post-mortem Cell Culture of Diffuse Intrinsic Pontine Glioma (DIPG)
Published on: March 7, 2017
Pott's disease in children
Mohammed Benzagmout1, Saïd Boujraf, Khalid Chakour
1Department of Neurosurgery, University Hospital Hassan II, Fez- Morocco, Faculty of Medicine and Pharmacy of Fez, Morocco.
Insights
Spinal tuberculosis, primarily affecting children, is a growing concern. Early diagnosis and treatment are crucial for favorable outcomes, preventing severe complications like paraplegia.
Area of Science:
- Orthopedics
- Infectious Diseases
- Pediatrics
Background:
- Increasing incidence of tuberculosis, with skeletal tuberculosis comprising 10-20% of extrapulmonary cases.
- Spinal tuberculosis predominantly affects children and young adults, leading to bone destruction, spinal deformity, and neurological complications.
Purpose of the Study:
- To report the demographic data, clinical presentation, surgical interventions, and outcomes of 37 children treated for spinal tuberculosis over six years.
Main Methods:
- Retrospective analysis of 37 pediatric patients (under 15 years) diagnosed with spinal tuberculosis.
- Evaluation of demographic profiles, clinical symptoms, treatment regimens (chemotherapy and immobilization), and surgical indications.
- Assessment of treatment outcomes and follow-up duration (1-4 years).
Main Results:
- The average age of patients was 9.1 years, with a male/female ratio of 1.8.
- 81% presented with inflammatory rachialgia; 16.2% had neurological symptoms. The lumbar spine was most commonly affected (23 cases).
- All patients received chemotherapy and immobilization; seven underwent surgery due to psoas abscess or severe neurological deficits. All cases showed favorable outcomes, with no mortality.
Conclusions:
- Spinal tuberculosis remains prevalent in developing nations, particularly in pediatric populations.
- The disease can cause severe bone destruction, spinal deformity, and paraplegia, emphasizing the need for prompt diagnosis and treatment.
- Early intervention is essential for achieving good outcomes and preventing devastating complications.
Background:
The incidence of tuberculosis is increasing, and skeletal tuberculosis accounts for 10-20% of all extrapulmonary cases. Spinal tuberculosis occurs mostly in children and young adults. It causes bone destruction, spinal deformity and neural complications.
Materials And Methods:
Our study includes 37 children (below 15 years of age) with spinal tuberculosis treated in our department in the last 6 years. The demographic data, clinical profile, surgical intervention and outcome of these children are reported.
Results:
The mean age ranged from 4 to 15 years, with an average of 9.1 years, and the male/female ratio was 1.8. Thirty patients (81%) had progressive inflammatory rachialgia and only six patients (16.2%) had neurological symptoms. The lumbar spine was mostly affected (23 cases). All patients have benefited from antituberculous chemotherapy (Regimen 2SRHZ/10RH) associated with spinal immobilization during 3 months. The surgical treatment was indicated in seven patients because of the presence of large bilateral abscess of the psoas muscle in one patient and the presence of severe neurological symptoms in the six remaining patients. The evolution was favorable in all cases, including those with neurological symptoms. There was no case of death and the length of follow-up for these patients ranged between 1 and 4 years.
Conclusion:
Spinal tuberculosis is still a prevalent disease in developing countries, mainly occurring in children. Complications of the disease can be devastating because of its ability to cause bone destruction, spinal deformity and paraplegia. Therefore, an early diagnosis and establishment of treatment are necessary to expect a good outcome.
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