{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T16:41:16Z","timestamp":1788972076716,"version":"build-2803163510"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"\n \n \n Pott's disease is a vertebral infection caused by\n Mycobacterium tuberculosis<\/jats:italic>\n . Indolent nature and subacute course are associated with late diagnosis. A clinical case is presented whose diagnosis was delayed by atypical presentation with progressive worsening of symptoms. Magnetic resonance imaging (MRI) of the dorsolumbar spine revealed T7\u2013T8 angulation suggestive of secondary injury, with intracanalar extension and spinal cord compression. Gastric aspirate cultures, direct microscopy, and polymerase chain reaction (PCR) were A 79-yearold female came to the emergency department with right back pain, pleuritic, with 12 h of evolution. Anorexia and weight loss,1 month evolution. Computed tomography (CT) of the dorsal spine revealed T7\u2013T8 lytic lesions, suggestive of secondary nature. Objectively:weight loss and pain during thoracic palpation. Annalistically: normocytic\/normochromic anemia, hypercalcemia, hepatic cholestasis, C-reactive protein (CRP) 7.12 mg\/dL. Chest X-ray and electrocardiogram without alterations. She was admitted in Internal Medicine service. Analytically: hypophosphatemia, parathyroid hormone elevated, CRP 6 mg\/dL, Beta-2 microglobulin elevated, dyslipidemia, iron and folicacid deficiency.negative for\n M. tuberculosis<\/jats:italic>\n . T8 aspiration CT guided: cultures\/direct microscopy negative, PCR positive for\n M. tuberculosis<\/jats:italic>\n . Introductionof antitubercular drugs. Worsening of symptomatology, with paraparesia. MRI of the dorsal spine revealed spondylodiscitis and spinal cordcompression in T7\u2013T8. Diagnosis revealed vertebral tuberculosis with spinal cord compression. She was transferred to neurosurgery servicefor surgical treatment. There was clinical and analytical improvement. Draws attention to difficulty in diagnose a treatable disease in a patientwith a rare presentation.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijmy.ijmy_2_22","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T09:02:00Z","timestamp":1682067720000},"page":"113-115","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Pott's Disease (Tuberculous Spondylitis)"],"prefix":"10.4103","volume":"11","author":[{"given":"In\u00eas Almeida","family":"Pintor","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fl\u00e1vio","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana","family":"Cavadas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Lopes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-17-20240902","first-page":"58","article-title":"Tuberculous spondylodiscitis: Epidemiology, clinical features, treatment, and outcome","volume":"16","author":"Trecarichi","year":"2012","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"R3-17-20240902","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4321\/S1575-06202015000100002","article-title":"Extrapulmonary tuberculosis: An overview","volume":"17","author":"Ramirez-Lapausa","year":"2015","journal-title":"Rev Esp Sanid Penit"},{"key":"R5-17-20240902","doi-asserted-by":"crossref","first-page":"1693","DOI":"10.1084\/jem.20050842","article-title":"Mycobacterium tuberculosis and the host response","volume":"201","author":"Kaufmann","year":"2005","journal-title":"J Exp Med"},{"key":"R6-17-20240902","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/S0033-8389(22)00612-1","article-title":"Musculoskeletal tuberculosis","volume":"33","author":"Yao","year":"1995","journal-title":"Radiol Clin North Am"},{"key":"R8-17-20240902","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1093\/cid\/ciw694","article-title":"Official American Thoracic Society\/Infectious Diseases Society of America\/Centers for Disease Control and prevention clinical practice guidelines: Diagnosis of tuberculosis in adults and children","volume":"64","author":"Lewinsohn","year":"2017","journal-title":"Clin Infect Dis"},{"key":"R9-17-20240902","doi-asserted-by":"crossref","first-page":"e147","DOI":"10.1093\/cid\/ciw376","article-title":"Official American Thoracic Society\/Centers for Disease Control and Prevention\/Infectious Diseases Society of America clinical practice guidelines: Treatment of drug-susceptible tuberculosis","volume":"63","author":"Nahid","year":"2016","journal-title":"Clin Infect Dis"}],"container-title":["The International Journal of Mycobacteriology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijmy.ijmy_2_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:02:19Z","timestamp":1787760139000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijmy.ijmy_2_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijmy.ijmy_2_22","relation":{},"ISSN":["2212-5531"],"issn-type":[{"value":"2212-5531","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}