Tuberculous spondylitis and psoas abscess

Case contributed by Dr Domenico De Santis


Worsening lower back pain for three months.

Patient Data

Age: 20 years
Gender: Male

MRI Lumbar spine

Destructive process of the lumbar vertebrae with relative preservation of intervertebral discs. Presence of an abscess in the paraspinal space and within the psoas muscles, widely more extended on the left side, reaching the groin. In L4-L5 part of the fluid collection is also extended through the left neuroforamen within the epidural space.

Case Discussion

Tuberculous spondylitis should be considered in case of abnormal signal intensity of the paraspinal space, subligamentous spread to ≥ 3 vertebrae, relative intervertebral disc sparing and smooth abscess wall.

Pathologically proven Mycobacterium tuberculosis infection (Pott disease).

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Case information

rID: 66266
Published: 13th Feb 2019
Last edited: 14th Aug 2019
System: Spine
Inclusion in quiz mode: Included

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