TITLE:
C1-C2 Pott’s Disease, a Rare Location of Spine Tuberculosis
AUTHORS:
Honoré Ntsiba, Norbert Edgard Lamini N’Soundhat, Daphtone Nkouala Kidédé
KEYWORDS:
Pott’s Disease; Spine Tuberculosis; C1-C2; Atlanto-Axial
JOURNAL NAME:
Open Journal of Rheumatology and Autoimmune Diseases,
Vol.3 No.4,
November
19,
2013
ABSTRACT: The authors report a new case of spine tuberculosis of C1-C2 occurred in a 58-year-old negative HIV patient that was responsible of inflammatory cervical pain with multidirectional stiffness and complicated by spastic quadriplegia. The diagnosis was made on the basis of presumptive elements, including cervical spinal CT scan, which showed atlan-to-axial subluxation (C1-C2) with destruction of the odontoid apophysis and lateral mass of the atlas and favorable evolution under specific antibiotic treatment with ethambutol, isoniazid, rifampicin, pyrazinamide and immobilization with brace cast, despite the absence of bacteriological and anatomo-pathological evidence of certainty. The evolution has been favorable, with the disappearance of cervical pain, progressive motor recovery and resumption of autonomy of walking.