PDF(Pubmed)
Abstract：
Cervical Pott\'s disease, a form of spinal tuberculosis (TB), is a significant concern in low- and middle-income countries (LMICs). Early detection and treatment are critical to preventing complications like vertebral collapse. Clinical and radiological features of cervical Pott\'s disease can resemble other spinal conditions, posing diagnostic challenges. We present a case of a 28-year-old female who initially presented with quadriplegia, cervical instability, and high-grade fever. Through multidisciplinary collaboration and prompt intervention, the patient was diagnosed with cord compression syndrome secondary to a cervical abscess and probable cervical Pott\'s disease. Anti-tuberculosis treatment (ATT) and steroids were initiated, leading to significant improvement in symptoms and disease resolution. In summary, this case underscores the diagnostic challenge of cervical Pott\'s disease and the importance of imaging in TB diagnosis in resource-limited settings. The positive treatment response emphasizes early intervention\'s significance.
摘要：
宫颈Pott病,脊柱结核（TB）的一种形式，是低收入和中等收入国家(LMICs)的一个重大关切。早期发现和治疗对于预防椎体塌陷等并发症至关重要。宫颈Pott病的临床和放射学特征可以类似于其他脊柱疾病，提出诊断挑战。我们介绍了一例28岁的女性，最初出现四肢瘫痪，颈椎不稳,和高烧。通过多学科合作和及时干预，患者被诊断为继发于宫颈脓肿和可能的宫颈Pott病的脊髓压迫综合征。开始抗结核治疗（ATT）和类固醇治疗，导致症状和疾病解决的显着改善。总之,该病例强调了宫颈Pott病的诊断挑战以及在资源有限的环境中影像学在TB诊断中的重要性.积极的治疗反应强调早期干预的意义。
