Syphilis of the lumbar spine: A case report and review of the literature.
|Abstract||Tertiary syphilis can manifest as gummatous disease, but gumma of the spine has been extremely rarely reported.|
Clinical results of the patients with severe kyphosis and paraplegia in different spine segment due to tuberculosis of thoracic and lumbar treated by one stage posterior surgical procedure to debriment of lesion bone fusion with internal fixation by pedicle screw system.
|Publication Year Start||0-01-01|
PMID- 29390306 OWN - NLM STAT- In-Process LR - 20180202 IS - 1536-5964 (Electronic) IS - 0025-7974 (Linking) VI - 96 IP - 50 DP - 2017 Dec TI - Syphilis of the lumbar spine: A case report and review of the literature. PG - e9098 LID - 10.1097/MD.0000000000009098 [doi] AB - RATIONALE: Tertiary syphilis can manifest as gummatous disease, but gumma of the spine has been extremely rarely reported. PATIENT CONCERNS: A 61-year-old male complained of worsening pain and numbness in both lower legs for four weeks. DIAGNOSES: Syphilis of the Lumbar Spine. INTERVENTIONS: Pedicle screw fixation (L3-S1) and posterior decompression of the vertebral canal at L4-5 were performed. OUTCOMES: The postoperative VAS score of both lower extremities decline to 2 from 7 at admission. Dorsal thumb extensor motor power (left/right) at day 7 postoperatively was 3/3 (versus admission: 1/1). Laboratory examinations showed normal white blood cell count (versus admission: 13.8 x 10/L; reference value: 4.00-10.00 x 10/L) and decline in C-reactive protein (20.35 mg/L versus admission: 77.43 mg/L; reference value: 0.00-10.00 mg/mL) and ESR (58 mm versus admission: 73 mm; reference value: 0-15 mm). LESSONS: Our case illustrates that although gummatous disease of the spine may be extremely rare, it should be considered in the differential diagnosis of tuberculosis or malignancy of the spine so as to avoid a wrong diagnosis and incorrect treatment. CI - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved. FAU - Yin, Ruofeng AU - Yin R AD - Department of Orthopedic. FAU - Wang, Liping AU - Wang L AD - Department of Pathology, China-Japan Union Hospital, Jilin University, Jilin, China. FAU - Zhang, Tinglong AU - Zhang T AD - Department of Orthopedic. FAU - Zhao, Baolin AU - Zhao B AD - Department of Orthopedic. LA - eng PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R EDAT- 2018/02/03 06:00 MHDA- 2018/02/03 06:00 CRDT- 2018/02/03 06:00 PHST- 2018/02/03 06:00 [entrez] PHST- 2018/02/03 06:00 [pubmed] PHST- 2018/02/03 06:00 [medline] AID - 10.1097/MD.0000000000009098 [doi] AID - 00005792-201712150-00056 [pii] PST - ppublish SO - Medicine (Baltimore). 2017 Dec;96(50):e9098. doi: 10.1097/MD.0000000000009098.