Nov 12, 2015 apr 23, 2020 treatment of tuberculosis pptpowerpoint presentation, medical notes edurev is made by best teachers of. Find powerpoint presentations and slides using the power of, find free presentations research about tuberculosis of spine ppt. Imaging of extrapulmonary tuberculosis radiographics. He was admitted due to a twomonth history of severe.
In this case, 18 ffdgpetct revealed multiple hypermetabolic lesions in axial skeleton, lymph nodes, and the lung, suggestive of either disseminated. The existence of tuberculosis tb in ancient times is evident from the fact that it was observed in mummies from egypt and peru 9000 bc and has also been described as yakshama in the oldest indian medical treatises of charaka samhita and sushruta samhita, dating back to and 600 bc, respectively. The slide set provides an overview of the current recommendations for the testing and treatment of latent tuberculosis. In 2016 there were 12836 cases of pulmonary tb new and recurrent cases of which 530 cases were tb. Ankylosing tuberculosis is an infection caused by mycobacterium tuberculosis in one or more components of the vertebrae. Ankylosing spondylitis also called bekhterev spondylitis, deforming spondylitis, or mariestrumpell arthritis is a disease of the spine that is characteristically seen chiefly in adolescent boys. What is the role of biopsy in the diagnosis of pott. Features of spinal tuberculosis pott disease, an extrapulmonary form, include destruction of the intervertebral space and collapse of vertebral bodies, leading to. Tuberculous spondylitis an overview sciencedirect topics.
According to who, more than 8 million new cases of tb occur each year. Pdf disseminated tuberculosis mimicking ankylosing spondylitis. Subsequently, molecular studies have established the presence of. Pdf on jan 1, 2009, aparna sarangapani and others published atypical presentation of spinal tuberculosis find, read and cite all the research you need on. When someone comes into contact with tuberculosis or feels as if they become infected by tuberculosis, they should call a doctor and order a skin test. Extrapulmonary tuberculosis eptb accounts for 1520% of tb cases. Infection with hiv increases the risk of reactivation of dormant tuberculosis and the risk of acquiring the primary infection. To effectively treat tuberculosis, it is crucial that patients take their medications exactly as prescribed. Tuberculosis, caused by mycobacterium tuberculosis, remains a major public health hazard, especially in developing countries in which poverty, malnutrition, and the presence of drugresistant strains have combined to aid the spread of the disease. Ankylosing spondylitis is an inflammatory disease that, over time, can cause some of the small bones in your spine vertebrae to fuse. Antitnf agents have emerged as an important treatment for rheumatic diseases, particularly for ankylosing spondylitis as. Because this antigen occurs in 8% of the healthy white population and 2% of healthy blacks, it is not a specific diagnostic test but is most useful when there is intermediate probability. Ppt mycobacterium tuberculosis powerpoint presentation. Ankylosing spondylitis is a chronic inflammatory disorder affecting mainly the axial skeleton.
A 48yearold surinamese woman presented with a 1year history of arthralgia. Pott disease, also known as tuberculous spondylitis, is a classic presentation of extrapulmonary tuberculosis tb. Download complete set 90 slides in power point format 3. The diagnosis of tuberculous spondylitis should be investigated if strong clinical suspicion exists, even if suggestive pulmonary radiology findings are absent. Nowadays tuberculous spondylitis, also known as pott disease, is a rare clinical condition but can cause severe vertebral and neurological sequelae that can be prevented with an early correct diagnosis. Tuberculosis of the spine symptoms and treatment of.
Comparison of pyogenic spondylitis and tuberculous spondylitis. Spinal tuberculosis tb or pott disease was first reported in 1779 and represents tuberculosis of spine ppts online, safely and virusfree. Tuberculous meningitis tbm is difficult to diagnose, and a high index of suspicion is needed to make an early diagnosis. Ppt spondilitis tuberculosa potts desease powerpoint. View and download powerpoint presentations on tuberculosis of spine ppt. The manifestations depend upon the duration of illness, severity of the disease, site. Tuberculosis airborne disease caused by the bacterium mycobacterium tuberculosis m. The lower thoracic and upper lumbar vertebrae are the areas of the spine most often affected. Invision employees share their remote work secrets. Tuberculosis spondylitis tb spinepotts diseasis by dr phillipo leo chalya 1. A 42yearold male complaining of thoracic spine pain was admitted to the hospital for evaluation. This slide presentation with streaming audio provides information on how to manage treatment of tuberculosis tb. Coexisting active pulmonary tuberculosis in tuberculous. The future angle y of kyphotic deformity in tb spine could be reasonably predicted by using formula.
If ribs are affected, it can be difficult to breathe deeply. Mycobacterium tuberculosis authorstream presentation. Presentation material is for education purposes only. Controlling the spread of tuberculosis infection can prevent tuberculous spondylitis and arthritis. Constitutional symptoms include fever and weight loss. Tuberculosis is still one of the most important health problems in the world. In this study diagnosis of spinal tuberculosis and its differentiation from pyogenic was based on studies by jung6 and smith. The current trend is a decrease in spinal infections due to good nutritional and hygienic status, but an increase in the resistant strains of the organism of pyogenic spondylitis 1, 2.
Because the possibility of concomitant active pulmonary tuberculosis in tb spondylitis patient can be easily overlooked, there is a chance of the possibility of nosocomial infection of tb. The target audience for this slide set is primary health care providers. Targeted tuberculosis tb testing and treatment of latent. We report wholegenome sequencing wgs and variant analyses of m. The disease is not detected and often gets unnoticed until it causes severe pain. Aug 08, 2019 pott disease, also known as tuberculous spondylitis, is one of the oldest demonstrated diseases of humankind, having been documented in spinal remains from the iron age in europe and in ancient mummies from egypt and the pacific coast of south america. Pathology of tb paraplegia infarction of spinal cord caused by. Tb cases are tuberculous spondylitis tbs, which causes severe specific lesions of 1 components of the spine 2. Apr 08, 2014 tuberculosis of the spine accounts for 1% of all tuberculous infections, and 25% to 60% of all bone and joint infections are caused by tuberculosis 1, 6. Tuberculosis of the spine in children soheila khalilzadeh1, soheila zahirifard 2, ali akbar velayati 1 1 department of pediatrics, 2 department of radiology, nritld, shaheed beheshti university of medical sciences and health services, tehran iran abstract background. Spondilitis tuberkulosis potts disease nur afiqah binti jasmi 102031 2.
Tuberculosis spondylitis ii vertebral column tuberculosis. Best powerpoint templates download your favorites today. The clinical presentation of spinal tuberculosis in patients infected with the human immunodeficiency virus hiv is similar to that of patients who are hiv negative. Imaging features of tuberculous spondylitis final2. Comprehensive presentation on tuberculosis of spine potts spine potts. Ppt pulmonary tuberculosis powerpoint presentation. Inquire about the patients medical and social history, including recent contact with patients with tuberculosis tb. Tb disease is suspected clinically when a person presents with the symptoms mentioned above usually together with abnormal findings on a chest xray. Mar 01, 2009 aspergillusinduced spondylitis may mimic tuberculous spondylitis, in which subligamentous spread of abscess and multilevel involvement of the spine are seen, 26. Mycobacterium tuberculosis the bacterium that causes tuberculosis. She had longstanding back pain following childhood traumatic injury.
Tuberculosis among patients treated with tnf inhibitors. It is important to differentiate tuberculous spondylitis from pyogenic spondylitis because proper treatment of the different types can reduce the rate of disability and functional impairment 2. View tuberculosis of spine ppts online, safely and virusfree. The hallmark of childhood pulmonary tuberculosis is the relatively large size and importance of the hilar lymphadenitis compared with the less significant size of. On artificial media, coccoid and filamentous forms are seen with variable morphology from one species to another. What is spondylitis spondylitis occurs due to the inflammation of one or two vertebrae in the spinal cord. Download complete set 201 slides in power point format 7 mb ppt icon.
Factors that have contributed to this increase are the rising number of people with suppression of the immune system, the development of drugresistant strains of mycobacterium tuberculosis, aging population. Tuberculous spondylitis has been common in developing countries, and the number of patients with the disease. Ankylosing spondylitis affects men more often than women. Infectious spondylitis is defined as an infection by a specific organism of one or more components of the spine, namely the vertebra, intervertebral discs, paraspinal soft tissues, and epidural space. In the past decade, there has been a significant rise in the prevalence of tuberculosis as well as an increase in the extrapulmonary manifestations worldwide, 1, 2. Physical examination showed kyphosis at the thoracolumbar junction.
She had no fever, malaise, weight loss, or coughing. It is one of the most common disease causing back ache and neck pain. Developing countries including india, china, pakistan, philippines, thailand, indonesia, bangladesh and the democratic republic of congo. Tuberculosis continues to pose a problem of public health worldwide. Primary tuberculosis now accounts for 23%34% of all adult cases of tuberculosis, 4. What monitoring is needed following treatment for pott. Here we report a case of a man with a clinical suspicion of ankylosing spondylitis but with a persistence of increased inflammatory markers. Other features suggestive of tuberculosis include the following positive ppd result. Download fulltext pdf download fulltext pdf disseminated tuberculosis mimicking ankylosing spondylitis article pdf available september 2011 with 222 reads.
Previous article an outbreak of encephalomyelitis in sierra leone. Spinal tuberculosis is uncommon in the western world. A free powerpoint ppt presentation displayed as a flash slide show on id. Tuberculosis of the vertebrae and spine, also known at pott disease or tuberculous spondylitis, is primarily a disease of children and young adults in countries with high rates of tuberculosis infection, although in the united states it is more typically seen in immunocompromised adults. Ankylosing spondylitis was the first of the spondyloarthropathies to be linked with an hla gene. This is an example of tuberculosis of the skin it is normally referred to as warty t. Tuberculosis of the spine in children semantic scholar. Treatment of tuberculosis pptpowerpoint presentation. This document is highly rated by students and has been viewed 684 times.
Take your hr comms to the next level with prezi video. The pain is seen primarily around the cervical area of the neck and it goes down to. In developed countries, the proportion of extrapulmonary tuberculosis cases is increasing. Aug 08, 2019 pott disease, also known as tuberculous spondylitis, is a classic presentation of extrapulmonary tuberculosis tb. Screening and treatment of latent tuberculosis infection ltbi is essential before the use of these drugs. Tuberculous spondylitis versus pyogenic spondylitis. Tuberculosis types powerpoint template is one of the best. Spondylitis tb free download as powerpoint presentation. It is important to differentiate tuberculous spondylitis from pyogenic spondylitis, because proper treatment for the different types may reduce the rate of disability and functional. The spondyloarthropathies are chronic inflammatory diseases involving the sacroiliac joints, axial skeleton, and to a lesser degree, peripheral joints and extraarticular organs which includes the eyes, skin, and cardiovascular system.
More properly known as tuberculosis spondylitis, potts disease is named after dr. Introduction tuberculous spondylitis has been documented in ancient mummies. Ankylosing spondylitis as, a common type of spondyloarthropathy, is a chronic inflammatory autoimmune disease that mainly affects spine joints, causing severe, chronic pain. Hlab27 is found in 90% of white patients and 50% of black patients with ankylosing spondylitis. In culture and histology confirmed 71 samples from 69 individuals suspected of potts disease, xpert mtbrif had a sensitivity of 95. Disseminated tuberculosis mimicking ankylosing spondylitis.
No neurological abnormalities nor evidence of arthritis were noted. Pdf atypical presentation of spinal tuberculosis researchgate. Introductionintroductionpulmonary tuberculosis tb is an infectiouspulmonary tuberculosis tb is an. Primary tuberculosis typically manifests radiologically as parenchymal disease, figs 1, 3, lymphadenopathy. One year before presentation, he had a tb contact and was not screened for active or latent tb infection. This fusing makes the spine less flexible and can result in a hunchedforward posture. Although primary tuberculosis is the most common form of pulmonary tuberculosis in infants and children, it has been increasingly encountered in adult patients, 2, 3.
Scribd is the worlds largest social reading and publishing site. Imaging findings of these 2 diseases can be challenging to distinguish, yet crucial because the treatments for these infections are particularly different 2. Tuberculosis spondylitis tb spinepotts diseasis ppt. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. Skeletal tuberculosis tb refers to tb involvement of the bones andor joints. Tuberculosis of the spine, or tubercular spondylitis is an inflammatory disease of the spine, a characteristic feature of which is the primary destruction of the vertebral bodies with subsequent deformation of the spine tuberculous spondylitis ranks first among all localizations of osteoarticular tuberculosis, accounting for 5060% of the total number of patients. Winner of the standing ovation award for best powerpoint templates from presentations magazine. Tuberculosis spondylitis ii free download as powerpoint presentation. Patients who have a positive ppd test but not active tuberculosis may decrease their risk by properly taking medicines to prevent tuberculosis. Tuberculosis spondylitis tb spinepotts diseasis ppt video online. Performance of xpert mtbrif in tuberculosis spondylitis has been reported in very few studies. As in tuberculosis, the intervertebral disk in aspergillus infections may be spared from invasion and inflammatory change, 27.
Tuberculosis powerpoint templates w tuberculosisthemed. Primary tuberculosis it is the initial infection by tubercle bacilli in a host the site of the initial infection is usually the lung these bacilli engulfed by alveolar macrophages, multiply and give rise to a subpleural focus of tuberculous pneumonia which is commonly located in the lower lobe or lower part of the. The study the isolates were randomly collected from 71 tbs patients. Discrimination of tuberculous spondylitis from pyogenic. Potts disease is named after percival pott 1714 1788 who was a surgeon in london. Most of the patients with spinal tuberculosis in developed countries are immigrants from countries where tuberculosis is endemic. However, current recommendationsfor this screening and treatment and their efficacy are still not well established in endemic regions. Ppt childhood tuberculosis powerpoint presentation free. A positive result indicates that a person has been infected with the tuberculosis bacteria at some point in his or her life. Young children with vertebral osteomyelitis not extending. Pott disease tuberculous spondylitis article statpearls. It is caused mycobacterium tuberculosis, which was first isolated in 1882 by robert koch, a german physisian, who received the nobel prize for this discovery.
Neurologic abnormalities occur in 50% of cases and can include spinal. Ankylosing spondylitis symptoms and causes mayo clinic. The diagnosis tends to be delayed because of a nonspecific initial early manifestations andor low degree of suspicion. Tuberculous spondylitis or potts disease results in characteristic.
An xray and computer tomography of the thoracic spine showed spondylodiscitis of the l3 lumbar. Paraspinal abscess secondary to tuberculous spondylitis. Mycobacterium tuberculosis infects of the worlds population and seems to be responsible for 1. Wholegenome analysis of mycobacterium tuberculosis from.
Objectives this study aimed to assess the risk of tuberculosis tb in patients with rheumatoid arthritis ra, ankylosing spondylitis as and psoriatic arthritis psa treated with any of the commercially available tumour necrosis factor inhibitors tnfis in slovenia. A question and answer session, a printable powerpoint slide file, and other useful resources are also included as. Tuberculous spondylitis diagnosed through xpert mtbrif assay. This slide set was developed as an accompaniment to the core curriculum on tuberculosis. Pyogenic spondylitis and tuberculous spondylitis are common causes of spinal infection. Case presentation florin alexandru caruntu 1, 2, alina elena barbu 1, ana cristina ciobotaru 1 and monica nicoleta radu 1. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. Tuberculous spondylitis and pyogenic spondylitis are both common causes of spinal infection.