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Mediastinal mass causing spinal cord compression.

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    A pediatric case of Pott's disease presented with leg weakness and spinal deformity. Early diagnosis and treatment are crucial for managing tuberculous spondylitis in children.

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    Area of Science:

    • Neurology
    • Pediatrics
    • Infectious Diseases

    Background:

    • Tuberculous spondylitis, also known as Pott's disease, is a significant cause of spinal infection, particularly in endemic areas.
    • Pediatric spinal tuberculosis can present with varied neurological deficits and skeletal deformities.

    Observation:

    • A 4-year-old Cambodian male presented with progressive leg weakness, back deformity, fever, and cough.
    • Physical examination revealed a vertebral bony protrusion, lower extremity weakness, and positive Babinski reflexes.
    • Imaging demonstrated a mediastinal mass, pulmonary tuberculosis, and a destructive paravertebral mass with calcifications involving T4-T5 vertebrae and cord compression.

    Findings:

    • Diagnostic workup confirmed pulmonary tuberculosis and a paravertebral mass consistent with Pott's disease.
    • The findings indicated severe spinal cord compression secondary to tuberculous spondylitis.

    Implications:

    • This case highlights the importance of considering Pott's disease in pediatric patients with neurological symptoms and spinal abnormalities, especially in tuberculosis-prevalent regions.
    • Prompt diagnosis and management are essential to prevent irreversible neurological damage and skeletal complications.