Pott's disease
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| Pott's disease Classification and external resources | |
| ICD-10 | A18.01, M49.0 |
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| ICD-9 | 015.0 |
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Pott's disease is a presentation of extrapulmonary tuberculosis that affects the spine, a kind of tuberculous arthritis of the intervertebral joints. More precisely it is called tuberculous spondylitis and the original name was formed after Percivall Pott (1714-1788), a London surgeon. It is most commonly localized in the thoracic portion of the spine.
Signs and symptoms
- back pain
- fever
- night sweating
- anorexia
- weight loss
- Spinal mass, sometimes associated with numbness, tingling, or muscle weakness of the legs
Diagnosis
- blood tests - elevated erythrocyte sedimentation rate
- tuberculin skin test
- radiographs of the spine
- bone scan
- CT of the spine
- bone biopsy
- MRI
Late complications
- Vertebral collapse resulting in kyphosis
- Spinal cord compression
- sinus formation
- paraplegia (so called Pott's paraplegia)
Therapy
- non-operative - antituberculous drugs
- analgesics
- immobilization of the spine region by rod
- Surgery may be necessary, especially to drain spinal abscesses or to stabilize the spine
Prevention
Controlling the spread of tuberculosis infection can prevent tuberculous spondylitis and arthritis. Patients who have a positive PPD test (but not active tuberculosis) may decrease their risk by properly taking medicines to prevent tuberculosis. To effectively treat tuberculosis, it is crucial that patients take their medications exactly as prescribed.
Cultural references
The fictional Hunchback of Notre Dame had a gibbous deformity (humpback) that is thought to have been caused by tuberculosis. Furthermore, Jocelin, the Dean who wanted a spire on his cathedral in William Golding's "The Spire" probably suffered and died as a result of this disease. The 18th-century English poet Alexander Pope suffered from Pott's disease.
External links
- Pott Disease Tuberculous Spondylitis - from eMedicine - medical article with MRI picture
- Tuberculous arthritis. MedlinePlus. Public domain text from the US Government.
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
