Pott's disease in pregnancy - The University of Chicago Department ...
Pott's disease in pregnancy - The University of Chicago Department ...
Pott's disease in pregnancy - The University of Chicago Department ...
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Incidence per<br />
100,000<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
Sp<strong>in</strong>al TB<br />
1950 1960 1970 1980 1990 2000 2010<br />
Percivall Pott 1776<br />
• Incidence <strong>of</strong> TB <strong>in</strong> the US has<br />
decl<strong>in</strong>ed for most <strong>of</strong> the 20th Century<br />
• 20% have extrapulmonary TB<br />
• Of these, 10% have skeletal<br />
<strong>in</strong>volvement<br />
• Initial radiographs are <strong>of</strong>ten unreveal<strong>in</strong>g<br />
• May spare the disc space entirely while caus<strong>in</strong>g central rarefaction <strong>of</strong> the<br />
vertebral body3 • MRI is diagnostic study <strong>of</strong> choice<br />
• Abscess formation <strong>in</strong> the anterior s<strong>of</strong>t tissues and collection <strong>of</strong><br />
granulation tissue adjacent to vertebral body<br />
McLa<strong>in</strong> RF, Isada C. Cleveland Cl<strong>in</strong>ic Journal <strong>of</strong> Medic<strong>in</strong>e 2004; 71(7): 537-549.
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