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Semergen. 2012 May-Jun;38(4):258-61. doi: 10.1016/j.semerg.2011.07.014. Epub 2012 Mar 6.

[A 45 year-old male with lumbar tumours].

[Article in Spanish]

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Medicina Familiar y Comunitaria, Centro de Salud Espronceda, Madrid, España.


A 45 year old Filipino male, with history of Hepatitis B virus infection, was seen in his primary care clinic with a lumbar mass for the past three months. On physical examination the lower limbs showed decrease strength, chest X-rays showed bilateral thickening of the apical pleura, the Mantoux skin test was positive and a lumbar magnetic resonance imaging study showed a compression fracture of D4 vertebral body and soft-tissue abscess in L1. Microbiological examination was positive for M. tuberculosis complex, and with the diagnosis of Pott́s disease, he began treatment. With the advent of anti-tuberculosis drugs, spinal involvement of tuberculosis is rare, but it continues to have a high impact on morbidity. Treatment of vertebral involvement is based on anti-tuberculosis drugs and surgery.

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