Pott disease in a 13-month-old: case report

Giac Consigilieri1, Udaya K Kakarla, Nicholas Theodore

  • 1Division of Neurological Surgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona 85013, USA.

Neurosurgery
|February 11, 2011
PubMed

Insights

Pott disease, a spinal tuberculosis, can affect very young children. Surgical intervention in a 13-month-old with paraplegia led to independent ambulation and deformity stabilization.

Area of Science:

  • Pediatric Orthopedics
  • Infectious Diseases
  • Neurosurgery

Background:

  • Spinal tuberculosis, known as Pott disease, is a common Mycobacterium tuberculosis infection.
  • Pott disease most frequently affects the spine, presenting a significant challenge in pediatric cases.
  • This case highlights the youngest documented patient with naturally acquired Pott disease in the United States.

Observation:

  • A 13-month-old boy presented with paraplegia and diagnosed tuberculosis.
  • Imaging revealed a midthoracic kyphotic gibbus deformity causing severe spinal cord compression.
  • The patient underwent urgent decompressive laminectomies, corpectomies, strut grafting, and posterior instrumentation.

Findings:

  • Post-operatively, the patient showed significant neurological recovery.
  • At 18 months follow-up, the child was ambulating independently for short distances.
  • The spinal deformity demonstrated no further progression after surgical management.

Implications:

  • Pott disease requires consideration even in very young pediatric patients.
  • Surgical management is crucial for addressing neurological deficits and spinal instability in pediatric Pott disease.
  • Early intervention can lead to favorable outcomes, including functional recovery and deformity control.
Abstract

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