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A childhood case of spinal tuberculosis misdiagnosed as muscular dystrophy

  • Song, Doo-Il (Department of Pediatrics, College of Medicine, Korea University) ;
  • Sohn, Su-Ye (Department of Pediatrics, College of Medicine, Korea University) ;
  • Kim, Yun-Kyung (Department of Pediatrics, College of Medicine, Korea University) ;
  • Eun, So-Hee (Department of Pediatrics, College of Medicine, Korea University) ;
  • Rhie, Young-Jun (Department of Pediatrics, College of Medicine, Korea University) ;
  • Jang, Gi-Young (Department of Pediatrics, College of Medicine, Korea University) ;
  • Woo, Chan-Wook (Department of Pediatrics, College of Medicine, Korea University) ;
  • Choi, Byung-Min (Department of Pediatrics, College of Medicine, Korea University) ;
  • Lee, Jung-Hwa (Department of Pediatrics, College of Medicine, Korea University) ;
  • Je, Bo-Kyung (Department of Radiology, College of Medicine, Korea University)
  • Received : 2009.09.14
  • Accepted : 2009.12.01
  • Published : 2010.05.15

Abstract

Tuberculosis is primarily a pulmonary disease, but extra-pulmonary manifestations are not uncommon, especially in children and adolescents. Ten percent of extra pulmonary tuberculosis localizes to the bones and joints, and 56% of such cases affect the spine. We treated a childhood case of spinal tuberculosis misdiagnosed as muscular dystrophy in a patient without specific constitutional symptoms. We report this case because the patient had an unusual presentation of spinal tuberculosis.

Keywords

References

  1. van Well GT, van der Mark LB, Vermeulen RJ, van Royen BJ, Wuisman PI, van Furth AM. Spinal tuberculosis in a 14-year-old immigrant in the Netherlands. Eur J Pediatr 2007;166:1071-3. https://doi.org/10.1007/s00431-006-0347-1
  2. Corbett EL, Watt CJ, Walker N, Maher D, Williams BG, Raviglione MC, et al. The growing burden of tuberculosis: global trends and interactions with the HIV epidemic. Arch Intern Med 2003;163:1009- 21. https://doi.org/10.1001/archinte.163.9.1009
  3. Faustini A, Hall AJ, Perucci CA. Risk factors for multidrug resistant tuberculosis in Europe: a systematic review. Thorax 2006;61:158-63. https://doi.org/10.1136/thx.2005.045963
  4. Jutte PC, van Loenhout-Rooyackers JH, Borgdorff MW, van Horn JR. Increase of bone and joint tuberculosis in The Netherlands. J Bone Joint Surg Br 2004;86:901-4. https://doi.org/10.1302/0301-620X.86B6.14844
  5. Teo HE, Peh WC. Skeletal tuberculosis in children. Pediatr Radiol 2004;34:853-60. https://doi.org/10.1007/s00247-004-1223-7
  6. Starke JR. Tuberculosis. In: Feigin RD, editor. Feigin & Cherry's textbook of pediatric infectious diseases. 6th ed. Philadelphia: Saunders/ Elsevier Co, 2009:1442-3
  7. Watts HG, Lifeso RM. Tuberculosis of bones and joints. J Bone Joint Surg Am 1996;78:288-98. https://doi.org/10.2106/00004623-199602000-00019
  8. Dogulu F, Baykaner MK, Onk A, Celik B, Ceviker N. Cervical tuberculosis in early childhood. Childs Nerv Syst 2003;19:192-4.
  9. Wurtz R, Quader Z, Simon D, Langer B. Cervical tuberculous vertebral osteomyelitis: case report and discussion of the literature. Clin Infect Dis 1993;16:806-8. https://doi.org/10.1093/clind/16.6.806
  10. Osguthorpe RJ, Parker S, Nyquist AC. Case report: two-year-old boy with a limp. Curr Opin Pediatr 2001;13:598-602. https://doi.org/10.1097/00008480-200112000-00019
  11. Kim HJ. Current situation of tuberculosis and its control in Korea. J Korean Med Assoc 2006;49:762-72. https://doi.org/10.5124/jkma.2006.49.9.762

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