Pott disease

Pott disease

Infobox_Disease
Name = PAGENAME


Caption =
DiseasesDB =
ICD10 = ICD10|A|18|0|a|15, ICD10|M|49|0|m|45
ICD9 = ICD9|015.0
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj =
eMedicineTopic =
MeshID = D014399

Pott disease is a presentation of extrapulmonary tuberculosis that affects the spine, a kind of tuberculous arthritis of the intervertebral joints. It is named after Percivall Pott (1714-1788), a London surgeon. Scientifically, it is called tuberculous spondylitis and it is most commonly localized in the thoracic portion of the spine.

igns 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)

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.

Therapy

* non-operative - antituberculous drugs
* analgesics
* immobilization of the spine region by rod (Hull)
* Surgery may be necessary, especially to drain spinal abscesses or to stabilize the spine
*Richards intramedullary hip screw - facilitating for bone healing
*Kuntcher Nail - intramedullary rod
*Austin Moore - intrameduallary rod (for Hemiarthroplasty)

Cultural references

The fictional Hunchback of Notre Dame had a gibbous deformity (humpback) that is thought to have been caused by tuberculosis. In Henrik Ibsen's play "A Doll's House," Dr. Rank suffers from "consumption of the spine." 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. Chick Webb, swing era drummer and band leader, was afflicted with tuberculosis of the spine as a child, which left him hunchbacked.

External links

* [http://www.emedicine.com/med/topic1902.htm Pott Disease] Tuberculous Spondylitis - from eMedicine - medical article with MRI picture
* [http://www.nlm.nih.gov/medlineplus/ency/article/000417.htm Tuberculous arthritis] . MedlinePlus. Public domain text from the US Government.


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Look at other dictionaries:

  • 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. Pott disease is characterized by softening …   Universalium

  • Pott disease — tuberculosis of spine …   Medical dictionary

  • Pott's disease — Pott s dis*ease (Med.) Caries of the vertebr[ae], frequently resulting in curvature of the spine and paralysis of the lower extremities; so named from Percival Pott, an English surgeon. [1913 Webster] {Pott s fracture}, a fracture of the lower… …   The Collaborative International Dictionary of English

  • Pott's fracture — Classification and external resources ICD 10 S82.6 ICD 9 824.4 …   Wikipedia

  • Pott's disease — Pott s′ disease [[t]pɒts[/t]] n. pat caries of the bodies of the vertebrae, often resulting in marked curvature of the spine • Etymology: 1825–35; after Percival Pott (1714–88), British surgeon, who described it …   From formal English to slang

  • Pott's disease — [päts′] n. [after Percival Pott (1714 88), Eng surgeon] tuberculous caries of the vertebrae, resulting in curvature of the spine …   English World dictionary

  • Pott's fracture — Pott s disease Pott s dis*ease (Med.) Caries of the vertebr[ae], frequently resulting in curvature of the spine and paralysis of the lower extremities; so named from Percival Pott, an English surgeon. [1913 Webster] {Pott s fracture}, a fracture… …   The Collaborative International Dictionary of English

  • Pott'sdisease — Pott s disease (pŏts) n. Partial destruction of the vertebral bones, usually caused by a tuberculous infection and often producing curvature of the spine.   [After PercivalPott (1714 1788), British surgeon.] * * * …   Universalium

  • Pott's disease — noun TB of the spine with destruction of vertebrae resulting in curvature of the spine • Hypernyms: ↑tuberculosis, ↑TB, ↑T.B. * * * ˈpäts noun Usage: usually capitalized P Etymology: after Percivall Pott died 1788 English surgeon …   Useful english dictionary

  • Pott's disease — An old term for tuberculosis of the spine that caused softening and collapse of the vertebrae, often resulting in kyphosis, a hunchback deformity, which was called Pott s curvature. Named for the English surgeon Sir John Percivall Pott (1714… …   Medical dictionary

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