TUBERCULOUS SPONDYLITIS IN ADULTS: CLINICAL AND RADIOGRAPHIC MANIFESTATIONS

The clinical and radiographic manifestations of maturity-onset tuberculous spondylitis were analyzed in 107 patients. If Mycobacterium tuberculosis (MBT) is drug resistant, the extent and degree of spinal bone destruction, the extent of abscess formation, and the rate of neurological disorders are g...

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Main Authors: N. A. Sovetova, G. Yu. Vasilyeva, N. S. Solovyeva, V. Yu. Zhuravlev, I. A. Baulin
Format: Article
Language:Russian
Published: New Terra Publishing House 2014-10-01
Series:Туберкулез и болезни лёгких
Subjects:
Online Access:https://www.tibl-journal.com/jour/article/view/289
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author N. A. Sovetova
G. Yu. Vasilyeva
N. S. Solovyeva
V. Yu. Zhuravlev
I. A. Baulin
author_facet N. A. Sovetova
G. Yu. Vasilyeva
N. S. Solovyeva
V. Yu. Zhuravlev
I. A. Baulin
author_sort N. A. Sovetova
collection DOAJ
description The clinical and radiographic manifestations of maturity-onset tuberculous spondylitis were analyzed in 107 patients. If Mycobacterium tuberculosis (MBT) is drug resistant, the extent and degree of spinal bone destruction, the extent of abscess formation, and the rate of neurological disorders are greater than those in the MBT drug sensitivity group; however, the significant difference concerns only the involvement of vertebral arches in destruction. The pattern and activity of a tuberculous process in the lung and the proportion of bacteria-excreting persons with drug resistance in MBT significantly exceed those with drug sensitivity. All the patients were operated on; the diagnosis was histologically verified in 100% of cases; the postoperative specimens exhibited MBT culture in 72.9%; the polymerase chain reaction was positive n 98.9%. Bacteriological and molecular genetic studies established multiple drug resistance in 73.4%, polyresistance in 17.3%, and monoresistance in 9.3%.
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spelling doaj.art-d69110ea8c45416fac40e2bdfc5c05792025-03-02T11:22:20ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062014-10-01010333710.21292/2075-1230-2014-0-10-33-37289TUBERCULOUS SPONDYLITIS IN ADULTS: CLINICAL AND RADIOGRAPHIC MANIFESTATIONSN. A. Sovetova0G. Yu. Vasilyeva1N. S. Solovyeva2V. Yu. Zhuravlev3I. A. Baulin4ФГБУ «Санкт-Петербургский научно-исследовательский институт фтизиопульмонологии» Минздрава РоссииФГБУ «Санкт-Петербургский научно-исследовательский институт фтизиопульмонологии» Минздрава РоссииФГБУ «Санкт-Петербургский научно-исследовательский институт фтизиопульмонологии» Минздрава РоссииФГБУ «Санкт-Петербургский научно-исследовательский институт фтизиопульмонологии» Минздрава РоссииФГБУ «Санкт-Петербургский научно-исследовательский институт фтизиопульмонологии» Минздрава РоссииThe clinical and radiographic manifestations of maturity-onset tuberculous spondylitis were analyzed in 107 patients. If Mycobacterium tuberculosis (MBT) is drug resistant, the extent and degree of spinal bone destruction, the extent of abscess formation, and the rate of neurological disorders are greater than those in the MBT drug sensitivity group; however, the significant difference concerns only the involvement of vertebral arches in destruction. The pattern and activity of a tuberculous process in the lung and the proportion of bacteria-excreting persons with drug resistance in MBT significantly exceed those with drug sensitivity. All the patients were operated on; the diagnosis was histologically verified in 100% of cases; the postoperative specimens exhibited MBT culture in 72.9%; the polymerase chain reaction was positive n 98.9%. Bacteriological and molecular genetic studies established multiple drug resistance in 73.4%, polyresistance in 17.3%, and monoresistance in 9.3%.https://www.tibl-journal.com/jour/article/view/289tuberculosisosteoarticular tuberculosis in adultstuberculous spondylitisclinical and radiographic manifestationsdrug resistance in mycobacterium tuberculosis
spellingShingle N. A. Sovetova
G. Yu. Vasilyeva
N. S. Solovyeva
V. Yu. Zhuravlev
I. A. Baulin
TUBERCULOUS SPONDYLITIS IN ADULTS: CLINICAL AND RADIOGRAPHIC MANIFESTATIONS
Туберкулез и болезни лёгких
tuberculosis
osteoarticular tuberculosis in adults
tuberculous spondylitis
clinical and radiographic manifestations
drug resistance in mycobacterium tuberculosis
title TUBERCULOUS SPONDYLITIS IN ADULTS: CLINICAL AND RADIOGRAPHIC MANIFESTATIONS
title_full TUBERCULOUS SPONDYLITIS IN ADULTS: CLINICAL AND RADIOGRAPHIC MANIFESTATIONS
title_fullStr TUBERCULOUS SPONDYLITIS IN ADULTS: CLINICAL AND RADIOGRAPHIC MANIFESTATIONS
title_full_unstemmed TUBERCULOUS SPONDYLITIS IN ADULTS: CLINICAL AND RADIOGRAPHIC MANIFESTATIONS
title_short TUBERCULOUS SPONDYLITIS IN ADULTS: CLINICAL AND RADIOGRAPHIC MANIFESTATIONS
title_sort tuberculous spondylitis in adults clinical and radiographic manifestations
topic tuberculosis
osteoarticular tuberculosis in adults
tuberculous spondylitis
clinical and radiographic manifestations
drug resistance in mycobacterium tuberculosis
url https://www.tibl-journal.com/jour/article/view/289
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AT nssolovyeva tuberculousspondylitisinadultsclinicalandradiographicmanifestations
AT vyuzhuravlev tuberculousspondylitisinadultsclinicalandradiographicmanifestations
AT iabaulin tuberculousspondylitisinadultsclinicalandradiographicmanifestations