Spinal Tuberculosis in Pregnancy: A Case Series

Spinal Tuberculosis (Pott’s Spine) infection during pregnancy poses significant challenges in early diagnosis, as it often resembles typical back pain experienced during pregnancy. Delayed diagnosis has resulted in maternal and foetal complications, including paraplegia, premature labor, preterm del...

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Bibliographic Details
Main Authors: SWARAMYA CHNADRASEKARAN, karthick anand krishnamurthy, Balaji kalimuthu
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2024-02-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/19029/65512_CE[Ra1]_F[SK]_QR_REF(KK_RDW)_PF1(VD_KM)_PFA(OM)_PN(KM).pdf
Description
Summary:Spinal Tuberculosis (Pott’s Spine) infection during pregnancy poses significant challenges in early diagnosis, as it often resembles typical back pain experienced during pregnancy. Delayed diagnosis has resulted in maternal and foetal complications, including paraplegia, premature labor, preterm delivery, and foetal growth restriction. Treatment approaches are tailored to individual clinical presentations and may involve conservative or surgical intervention. Surgical decompression should be considered when there is a neurological deficit that could complicate the delivery process. The standard Antituberculous Therapy (ATT) regimen for 12 months is an accepted treatment protocol according to the World Health Organisation (WHO) guidelines during the antenatal period. The present case series comprises four middle-aged pregnant women (two aged 19 years, one aged 21 years, and one aged 35 years, all primigravida) diagnosed with Pott’s spine at various trimesters, exhibiting a range of clinical presentations from mild back pain to acute neurological deficits. One patient in the late trimester with a neurological deficit required surgical decompression, while the remaining patients were successfully managed with appropriate ATT.
ISSN:2249-782X
0973-709X