Potts disease, also known as tuberculosis spondylitis, is a rare infectious. Spinal tuberculosis pott disease current medical diagnosis and. Potts disease is an infection of the spine with mycobacterium tuberculosis that causes destruction of the spine elements resulting in progressive kyphosis. It is associated with significant morbidity and can lead to severe functional impairment. Pott s disease of the spine may mimic other disease processes, and thus a definite list of differential diagnosis should be kept in mind before proceeding with specific treatment. The most common disease belonging to this category is spondylitis. Pyogenic infections are the commonest, usually caused by staphylococcus aureus or gramnegative bacteria. Potts disease in a mummy of a priest of ammon, 21st dynasty wellcome m0019338.
Although it is primarily a lung disease, some of the tissues present outside the lungs are also affected. Potts disease typically presents with back pain or stiffness in the absence of other symptoms, and sometimes develops into weakness or paralysis of the lower extremities potts paraplegia if diagnosis is delayed. Sep 30, 2017 i discussed the pott s disease vertebral tuberculosis or tb cause, symptoms, pathology and the treatment. Incidence potts disease is usually found in individuals potts disease and the white plague. Potts disease pd or spinal tuberculosis is a rare infectious disease. Potts disease, also known as tuberculosis spondylitis, is a rare infectious disease of the spine which is typically caused by an extraspinal infection. Iowa tuberculosis control program 2012 annual report. Pot syndrome pots, postural orthostatic tachycardia syndrome is a heart condition that involves the body s blood vessels. Postural orthostatic tachycardia syndrome pots is a condition that affects circulation blood flow. Apply proper techniques for application and reading of tsts. Cd450 without severe clinical disease initiate art in. Pots is a form of orthostatic intolerance, the development of symptoms that come on when standing up from a reclining position, and that may be relieved by sitting or lying back down. Jan 23, 2017 postural orthostatic tachycardia syndrome pots is a condition characterized by too little blood returning to the heart when moving from a lying down to a standing up position orthostatic intolerance. Active tuberculosis and hiv disease start tb medications immediately treatment duration extended to 912 months initiate art within.
Surgical management of potts disease of the spine in. Diagnosis of potts disease was confirm based on mri imaging and microscopically. Doctors dont know exactly what causes pots, but episodes seem to begin after trauma, major surgery, a viral illness, just before. 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. Aug 08, 2019 pott disease, also known as tuberculous spondylitis, is a classic presentation of extrapulmonary tuberculosis tb. Skeletal tuberculosis tb refers to tb involvement of the bones andor joints. Potts disease epidemiology and demographics wikidoc. Laboratory acute elevated esr increased wbc blood cultures 50% are positive bone culturebiopsy other phase reactants urine cultures chronic. Stress pathologic caused by weakness or disease, or too much weight or pressure. Potts disease treatment and pathology and the real case. First described in 1779 by percival pott, potts disease, or tuberculosis spondylodiscitis is the most frequent extrapulmonary, osteoarticular location of mycobacterium tuberculosis. The morbidity and mortality rate due to spinal tb is higher than other infections in developing. Potts disease is a rare form of extrapulmonary tuberculosis, and presents with several clinical patterns. Postural orthostatic tachycardia syndrome pots is a circulatory disorder that can make you feel faint and dizzy.
The role of surgery in the management of potts disease in. Pott s disease is a rare form of extrapulmonary tuberculosis, and presents with several clinical patterns. It is most often spread from the lungs via the blood. Pott disease, disease caused by infection of the spinal column, or vertebral column, by the tuberculosis bacillus, mycobacterium tuberculosis. This file is licensed under the creative commons attribution 4. Update on the surgical management of potts disease core. A cross sectional study, on medical records, was conducted in the rheumatology department of the chu brazzaville, from january 1st 20 to 30 june 2017 4 years and 6 months. If erosion continues unchecked, there is complete destruction of the affected vertebrae. Historical aspects of potts disease spinal tuberculosis management. Use proper dosing of antituberculosis drugs in pediatric patients. Case report atypical, multilevel and noncontiguous. Jan 25, 2017 the usual sites to be involved in spinal tuberculosis are the lower thoracic and upper lumbar vertebrae. Learn more about the symptoms, causes, and treatment of this condition.
Complications of the disease can be devastating because of its ability to cause bone destruction, spinal deformity and paraplegia. Any information contained in this pdf file is automatically generated from digital. While there has been significant progress in the diagnosis and management of the infection in recent decades, many challenges remain. Pott disease, also called tuberculous spondylitis or tuberculosis of the spine, disease caused by infection of the spinal column, or vertebral column, by the tuberculosis bacillus, mycobacterium tuberculosis. Potts disease in a mummy of a priest of ammon, 21st. There were 28 patients, who were clinically diagnosed as a case of potts disease. We are describing a rare case of potts disease where mycobacterium xenopi was the inculpated organism. Potts disease nursing, medical, surgical managements. Open compound if the bone has protruded through the skin or an object has punctured through skin making an opening to the fracture site. Potts disease medical management ideal non operative treatment. Media in category potts disease the following 19 files are in this category, out of 19 total. If it infects the spine, it causes potts disease, which involves curvature of the spine.
Patients with pott s disease most commonly present with focal pain in the spine, but they also may complain of constitutional symptoms including fever, chills, weight loss, malaise, anorexia, and fatigue. Feb 26, 2011 potts disease nursing, medical, surgical managements 1. Potts disease is also known as tuberculosis spondylitis or spinal tuberculosis. Resources wilson disease association wda international mayo clinic merck manual.
Find powerpoint presentations and slides using the power of, find free presentations research about pott s disease ppt. Because tb can manifest itself in any part of the body, scientist did not identify it as a unified disease until the 1820s and j. Neurological symptoms are present in 50 percent of patients. A particular form of this disease known as ankylosing spondylitis affects nearly 0. The diagnosis tends to be delayed because of a nonspecific initial early manifestations andor low degree of suspicion. Potts disease, its pathology and mechanical treatment. Potts disease tb of spine destroys disk vertebral collapse spinal cord compression. Potts disease is the most common form of skeletal tuberculosis tb in developing world and constitutes % of all cases of tb. Potts disease is a combination of osteomyelitis and arthritis which involves multiple vertebrae. Diagnosis and management of tuberculosis pdf book manual.
The following lesions should be considered and ruled outatypical mycobacterial or nontuberculous infectionspyogenic, fungal, hydatid, etc. Potts disease is the most common form of skeletal tuberculosis, and constitutes about 50% of all cases of skeletal tuberculosis. There is a combination of osteomyelitis and infective arthritis. Symptoms include lightheadedness and fainting when standing from a seated or lying position. We are describing a rare case of pott s disease where mycobacterium xenopi was the inculpated organism. Main differential diagnoses of potts disease are other causes of infectious spondylodiscitis. The source of infection is usually outside the spine. Tuberculosis can affect several tissues outside the lungs including the spine, a kind of tuberculous arthritis of the intervertebral joints. In children, pott s disease can be a primary infection and be located in the vertebra, resulting in discitis before progressing to spondylodiscitis. Percival pott was the first person to present the classic description of spinal tuberculosis tb in 1779. Shamkhan aziev suffers from potts disease at l5s1 with compression of the dural sac, constant lumbodynia, and bilateral radicular syndrome.
Early signs of the presence of potts disease generally begin with back pain that may seem to be due to simple muscle strain. New molecules have been developed for classic medical management with antituberculosis drugs. Full text full text is available as a scanned copy of the original print version. Pott s disease risk factors on the web most recent articles. Although tuberculosis tb is an ancient disease, it remains a major global public health problem. Closed simplethere is no opening in the skin complete break goes completely through bone. Pdf on apr 6, 2014, saranapoom klomjit and others published potts disease find, read and cite all the research you need on researchgate. Cd4 50 with severe clinical disease initiate art in. Case report atypical staphylococcus aureus infection and. Evidence of its main characteristic a severely curved upper spine has been found in the.
This is also caused tuberculous spondylitis if it infects the skin. Pott s disease is a form of tuberculosis and is one of the oldest documented diseases in humanity. Potts disease is often experienced as a local phenomenon that begins in the thoracic section of the spinal column. Pictorial assay of mri imaging findings in potts spine epos. Seeding of the vertebrae may occur through hematogenous spread from the respiratory tract at the time of primary infection, with clinical disease developing years.
Potts disease definition of potts disease by medical. Pott disease is characterized by softening and collapse of the vertebrae, often resulting in a hunchback curvature of the spine. Pott disease tuberculous spondylitis statpearls ncbi bookshelf. If it infects the spine, it causes potts disease, which involves ppt. The members of the commission learned that shamkhan aziev had been confined to bed for over three months, could hardly move his legs and suffers from severe back pain. Thoracoscopic decompression in potts spine and its longterm followup. Eventually, cervical spine radiographs were obtained that revealed complete cervical vertebral body destruction from spinal tuberculosis.
Potts disease, was first described by percival pott in 1779 1, 2. Pot syndrome pots, postural orthostatic tachycardia syndrome is a heart condition that involves the bodys blood vessels. Pot syndrome causes, symptoms, treatments, and diets. Pdf potts disease with clinicoradiological evidence 4. Tuberculous spondylitis spinal tuberculosis, multilevel, noncontiguous, potts disease introduction tuberculous spondylitis ts, also called spinal tuberculosis, potts spine or potts disease is a common extrapulmonary manifestation of tu berculosis tb, accounting for 50% of skeletal tb 1.
Throughout history, people called tb by many names including consumption, phthisis, scrofula, potts disease and the white plague. Oct 18, 2010 takehome points pott s disease can be a indolent cause of back pain without necessarily any systemic symptoms of tuberculosis progression can lead to major deformity or neurologic consequences tuberculosis should be considered in any case of vertebral osteomyelitis or diskitis most patients do well with prolonged 4drug antitb therapy. Pots is a heterogeneous meaning it has many causes group of disorders with similar clinical manifestations. It has been found in relics from ancient egypt, india, and china. View abstract kapoor s, kapoor s, agrawal m, aggarwal p, jain bk jr. Since the symptoms and the features of individual ts vary greatly, ts is often misdiagnosed. View and download powerpoint presentations on pott s disease ppt. Among egyptian mummies spinal tb, known as potts disease has been detected by archaeologists. Potts disease is a type of tuberculosis which mainly manifests itself through certain complications in the vertebral bones. Pott disease is tuberculosis of the spine, usually due to haematogenous spread from other sites. The condition is named after an english surgeon, sir. Tuberculosis tb continues to impose a significant clinical and socioeconomic burden globally. Although it is rare in the developed countries, in the developing countries with limited healthcare systems it. The clinical characteristics of spinal tuberculosis includes local pain, local tenderness, stiffness and spasm of the muscles, a cold abscess and kyphosis deformity.
The disease is named after percivall pott 17141788, a british surgeon. Media in category pott s disease the following 19 files are in this category, out of 19 total. The diagnosis of skeletal tb is difficult, given that bacilli are sparse and the culture of pus or tissue rarely positive. Tb contact investigation training april 56, 2016 curry. Potts disease resulting in complete cervical vertebral destruction. Prevalence in india pathology pathogenesis clinical features diagnosis complications treatment. Postural orthostatic tachycardia syndrome rare disease. A case report of disseminated potts disease spinal tuberculosis. Potts disease risk factors on the web most recent articles. Pdf spinal tuberculosis tb or potts spine is the commonest extrapulmonary. Unlike pott disease, they tend to cause severe back pain and constitutional symptoms. The spinal cord is infected by mycoplasma tuberculosis via the lymph nodes or the blood. Since pots is not a disease, it is fair to say that pots is caused by something else. More properly known as tuberculosis spondylitis, potts disease is named after dr.