Caries Spine Presenting as Thyroid and Multiple Paraspinal Abscesses
Adnan Agha*, Mohammad Awad AlHumaidi, Abdelhaleem Bella
Department of Internal
Medicine, King Fahad Hospital, Armed Forces Hospital Program Southern
Region, Khamis Mushyt, P.O. Box 101, Kingdom of Saudi Arabia
Published: May 4, 2010
Received: April 25, 2010
Accepted: April 26, 2010
Medit J Hemat Infect Dis 2010, 2(1): e2010008, DOI 10.4084/MJHID.2010.008
This article is available from: http://www.mjhid.org/article/view/5893
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Description
This 21
years old women presented consecutive
cough with sputum and
intermittent high grade fever all through her last trimester of
pregnancy. On examination she was sick
looking, febrile,
and having bilateral lower limb weakness with spasticity and positive
ankle
clonus. She also had multiple swelling
over upper back and neck without redness or hotness over it. The patient was admitted.
The subsequent CT scan of the neck is
significant for multiple cold abscesses all over body with one visible
in the
thyroid gland and one compressing on the thoracic spine.
The cold abscesses were drained and spine
decompression surgery was done. The patient was started on 4-drug
regimen of
anti-tuberculosis therapy and is now without complaints or any residual
abscesses after four months.