Tuberculosis espinal: opciones de tratamiento mas allá de las guías clínicas
Spinal tuberculosis, a presentation of extrapulmonary tuberculosis, usually presents with chronic back pain or deformity. The diagnosis is often delayed due to the insidious and nonspecific nature of the initial symptoms. The thoracic spine is more commonly affected, but it can affect other segments...
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Sociedade Galega de Medicina Interna
2021-07-01
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doaj-edaed66982924f199b97b75ea681276b2021-07-16T09:18:57ZengSociedade Galega de Medicina InternaGalicia Clínica0304-48661989-39222021-07-0182210110210.22546/61/21722172Tuberculosis espinal: opciones de tratamiento mas allá de las guías clínicasInês Esteves Cruz0João Torres1Hospital Egas MonizHospital Egas MonizSpinal tuberculosis, a presentation of extrapulmonary tuberculosis, usually presents with chronic back pain or deformity. The diagnosis is often delayed due to the insidious and nonspecific nature of the initial symptoms. The thoracic spine is more commonly affected, but it can affect other segments or be multisegmental. The site and extent of the lesion will determine the resulting neurological deficits which can lead to significant morbidity and functional impairment. Combination chemotherapy for 6 months is recommended, but some experts may recommend therapy for 9 to 12 months depending on the circumstances. Adjunct corticotherapy and surgery are also options in specific cases. Further studies will be needed in order to better understand the role of these therapies in severe tuberculosis, and in particular spinal tuberculosis.https://galiciaclinica.info/publicacion.asp?f=2172tuberculosis espinalcompresión de la médula espinalparaplejíaterapia con corticosteroidesmycobacterium tuberculosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Inês Esteves Cruz João Torres |
spellingShingle |
Inês Esteves Cruz João Torres Tuberculosis espinal: opciones de tratamiento mas allá de las guías clínicas Galicia Clínica tuberculosis espinal compresión de la médula espinal paraplejía terapia con corticosteroides mycobacterium tuberculosis |
author_facet |
Inês Esteves Cruz João Torres |
author_sort |
Inês Esteves Cruz |
title |
Tuberculosis espinal: opciones de tratamiento mas allá de las guías clínicas |
title_short |
Tuberculosis espinal: opciones de tratamiento mas allá de las guías clínicas |
title_full |
Tuberculosis espinal: opciones de tratamiento mas allá de las guías clínicas |
title_fullStr |
Tuberculosis espinal: opciones de tratamiento mas allá de las guías clínicas |
title_full_unstemmed |
Tuberculosis espinal: opciones de tratamiento mas allá de las guías clínicas |
title_sort |
tuberculosis espinal: opciones de tratamiento mas allá de las guías clínicas |
publisher |
Sociedade Galega de Medicina Interna |
series |
Galicia Clínica |
issn |
0304-4866 1989-3922 |
publishDate |
2021-07-01 |
description |
Spinal tuberculosis, a presentation of extrapulmonary tuberculosis, usually presents with chronic back pain or deformity. The diagnosis is often delayed due to the insidious and nonspecific nature of the initial symptoms. The thoracic spine is more commonly affected, but it can affect other segments or be multisegmental. The site and extent of the lesion will determine the resulting neurological deficits which can lead to significant morbidity and functional impairment. Combination chemotherapy for 6 months is recommended, but some experts may recommend therapy for 9 to 12 months depending on the circumstances. Adjunct corticotherapy and surgery are also options in specific cases. Further studies will be needed in order to better understand the role of these therapies in severe tuberculosis, and in particular spinal tuberculosis. |
topic |
tuberculosis espinal compresión de la médula espinal paraplejía terapia con corticosteroides mycobacterium tuberculosis |
url |
https://galiciaclinica.info/publicacion.asp?f=2172 |
work_keys_str_mv |
AT inesestevescruz tuberculosisespinalopcionesdetratamientomasalladelasguiasclinicas AT joaotorres tuberculosisespinalopcionesdetratamientomasalladelasguiasclinicas |
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1721297805218152448 |