Pott's disease differential diagnosis: Difference between revisions
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!Imaging Findings | !Imaging Findings | ||
|- | |- | ||
|Pyogenic | |[[Pyogenic abscess]] of the [[spine]] | ||
of the spine | |||
|Any age | |Any age | ||
|Lumbar | |Lumbar spine | ||
| | |[[Diabetes mellitus]] | ||
|Fever | | | ||
|Elevated ESR | *Fever | ||
Elevated WBC's | *[[Back pain]] | ||
*[[Myelopathy]] | |||
Elevated CRP | | | ||
|Destruction of vertebral bodies and disc spaces | *Elevated [[ESR]] | ||
*Elevated [[WBC]]'s | |||
*Elevated [[CRP]] | |||
| | |||
*Destruction of [[vertebra|vertebral]] bodies and disc spaces | |||
*Enhancement of the lesion | |||
*[[Epidural abscess]] | |||
|- | |- | ||
|Pott's Disease | |Pott's Disease | ||
|Children and adults | |Children and adults | ||
|Lumbo-thoracic | |Lumbo-thoracic | ||
|Exposure to tuberculous infection | |Exposure to [[tuberculous infection]] | ||
|Fever | | | ||
|Elevated ESR | *[[Fever]] | ||
Normal WBC | *[[Malaise]] | ||
|Destruction of vertebral bodies and disc spaces | *[[Weight loss]] | ||
*[[Backache]] | |||
*[[Myelopathy]] | |||
| | |||
*Elevated [[ESR]] | |||
*Normal [[WBC]] | |||
| | |||
*Destruction of vertebral bodies and disc spaces | |||
*Rim enhancement of the soft-tissue masses | |||
|- | |- | ||
| | |Brucellar abscess of the spine | ||
of the spine | |||
|Adults | |Adults | ||
|Lumbar | |Lumbar | ||
|Ingestion of unpasteurized milk | |Ingestion of unpasteurized milk | ||
|Fever | | | ||
|Elevated ESR | *[[Fever]] | ||
Elevated WBC | *[[Malaise]] | ||
*[[Weight loss]] | |||
Elevated CRP | *[[Backache]] | ||
|Intact vertebral architecture | | | ||
*Elevated [[ESR]] | |||
*Elevated [[WBC]] | |||
*Elevated [[CRP]] | |||
| | |||
*Intact vertebral architecture even in the presence of diffuse vertebral [[osteomyelitis]] | |||
|- | |- | ||
|Vertebral Metastasis | |Vertebral [[Metastasis]] | ||
|Elderly | |Elderly | ||
|Thoracic | |Thoracic | ||
|Presence of systemic malignancy | |Presence of systemic [[malignancy]] | ||
|Bone pain at night | | | ||
|Normal WBC | *[[Bone pain]] at night | ||
|Low signal intensity on T1-weighted images | *[[Backache]] | ||
*[[Radicular pain]] | |||
*[[Myelopathy]] | |||
| | |||
*Normal [[WBC]] | |||
*Normal [[ESR]] | |||
*Normal [[CRP]] | |||
| | |||
*Low signal intensity on T1-weighted images | |||
*Hypersignal on T2-weighted | |||
*Heterogeneous enhancement | |||
|} | |} | ||
*[[Spinal tumor]]s | *[[Spinal tumor]]s | ||
Revision as of 18:25, 28 March 2017
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Pott's disease Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Pott's disease differential diagnosis On the Web |
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American Roentgen Ray Society Images of Pott's disease differential diagnosis |
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Risk calculators and risk factors for Pott's disease differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hardik Patel, M.D.
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Overview
Pott's disease resembles spinal tumors, spinal cord abscess, Mycobacterium kansasii, nocardiosis, septic arthritis, metastatic cancer, multiple myeloma, miliary tuberculosis, spinal fungal infections, and Mycobacterium avium-intracellulare and needs to be differentiated from them.
Differentiating Pott's Disease from other Diseases
Pott's disease resembles the following disorders and needs to be differentiated from them:
| Disease | Age of Presentation | Common site involved | Risk Factors | Clinical Features | Laboratory Findings | Imaging Findings |
|---|---|---|---|---|---|---|
| Pyogenic abscess of the spine | Any age | Lumbar spine | Diabetes mellitus |
|
| |
| Pott's Disease | Children and adults | Lumbo-thoracic | Exposure to tuberculous infection |
| ||
| Brucellar abscess of the spine | Adults | Lumbar | Ingestion of unpasteurized milk |
| ||
| Vertebral Metastasis | Elderly | Thoracic | Presence of systemic malignancy |
|
|
- Spinal tumors
- Spinal cord abscess
- Mycobacterium kansasii
- Nocardiosis
- Paracoccidioidomycosis
- Septic arthritis
- Metastatic cancer[1]
- Multiple myeloma
- Miliary tuberculosis
- Actinomycosis
- Blastomycosis
- Brucellosis
- Candidiasis
- Cryptococcosis
- Histoplasmosis
- Mycobacterium avium-intracellulare
References
- ↑ Mittal S, Khalid M, Sabir AB, Khalid S (2016). "Comparison of Magnetic Resonance Imaging Findings between Pathologically Proven Cases of Atypical Tubercular Spine and Tumour Metastasis: A Retrospective Study in 40 Patients". Asian Spine J. 10 (4): 734–43. doi:10.4184/asj.2016.10.4.734. PMC 4995258. PMID 27559455.