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Isolated Tuberculosis of the Cervical Vertebrae
Amir A Mahmoud1, Ali Abdelhay1, Basant Eltaher2
1Internal Medicine, Rochester Regional Health, Rochester, USA.
Cureus
|March 29, 2023
Summary
This case report highlights a rare instance of cervical tuberculosis in a young woman presenting with limb weakness and neck pain. Early diagnosis and treatment are crucial for managing this uncommon form of vertebral tuberculosis.
Area of Science:
- Infectious Diseases
- Neurology
- Orthopedic Surgery
Background:
- Tuberculosis (TB) typically affects the lungs but can spread to other parts of the body, including the spine.
- Skeletal involvement is common in TB, with the spine being the most frequent site, though cervical vertebral TB is rare.
Observation:
- A 23-year-old female presented with limb weakness and neck pain.
- Cervical spine MRI revealed a lesion compressing the spinal cord, with intraoperative findings of caseous drainage.
Findings:
- Diagnosis was confirmed as isolated cervical tuberculosis of the vertebrae via positive interferon-gamma release assay and culture.
- The patient's presentation mimicked other infectious and malignant conditions.
Implications:
- This case underscores the importance of considering tuberculosis in the differential diagnosis of cervical spine lesions.
- Prompt recognition and treatment initiation are vital for favorable outcomes in vertebral TB.
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