Meddeb N, Rammeh N, Chahed M, Sahli H, Elleuch M, Cheour E, Zouari B, Sellami S
Service de rhumatologie, Hôpital la Rabta, Tunis, Tunisie.
Bull Soc Pathol Exot. 2002 Nov;95(4):269-71.
It is a retrospective study, reviewing all cases of vertebral tuberculosis recorded between 1989 and 1999 in La Rabta Hospital (Tunis). 29 patients have been included whose average age was 49 years. The main symptoms which appeared within a average period of six months were vertebral pain, associated with fever in half of the cases. The diagnosis of infectious spondylitis was made according to the results of Computer tomography in 26 cases. The diagnosis of infection was confirmed by characteristic histological pattern and/or culture biopsy. 27 patients were cured without complications except for 2 of them who developed a spinal cord compression. This complication was quickly stemmed by steroid therapy.
这是一项回顾性研究,回顾了1989年至1999年在突尼斯拉巴塔医院记录的所有脊椎结核病例。纳入了29例患者,平均年龄为49岁。在平均六个月的时间内出现的主要症状是脊椎疼痛,半数病例伴有发热。26例患者根据计算机断层扫描结果诊断为感染性脊柱炎。通过特征性组织学模式和/或培养活检确诊感染。27例患者治愈,无并发症,其中2例出现脊髓压迫。这种并发症通过类固醇治疗迅速得到控制。