Pott's disease Flashcards
1
Q
What is Pott’s disease?
A
This is vertebral body osteomyelitis and intervertebral discitis, caused by tuberculosis
2
Q
Who is most at risk of developing Pott’s disease?
A
Immunosuppressed patients
3
Q
How will Pott’s disease usually present?
A
Often there are no systemic symptoms
Clinical presentation is characteristically slow and insidious, presenting with back pain, lower limb weakness and possible paraplegia, with kyphotic deformity
4
Q
What testing is required in Pott’s disease?
A
Imaging such as X-ray and MRI are used to image the spine
5
Q
How can Pott’s disease be managed?
A
Analgesics
RIPE drugs
Surgery
6
Q
What are the RIPE drugs for TB treatment?
A
- R - Rifampicin
- I - Isoniazid
- P - Pyrazinamide
- E - Ethambutol
7
Q
What surgery can be performed in Pott’s disease?
A
Immobilisation of the spine
Drainage of spinal abscesses
