Mal de Pott en niños

Campos, Patricia; Chaparro, Eduardo; Valença, Federico; Fuentes-Davila, Alfredo

doi:10.1590/S0004-282X1989000300009

Resúmenes

Se presentan 27 casos de mal de Pott en niños entre 6 meses y 14 años de edad vistos durante un período de 2 años con tiempo de seguimiento hasta de 18 meses, 67% menores de 6 años y de ellos 2 pacientes menores de 1 año. Hubo predominio de pacientes de sexo masculino. El síntoma "jiba" fue el mas frecuente. La localización mas frecuente de la lesión fue el nivel dorsal. Todos recibieron tratamiento médico con 4 drogas, 14 de ellos necesitaron de métodos ortopédicos y solo 6 fueron sometidos a corrección quirúrgica. En mas del 50% hubo una evolución favorable hacia la curación o la mejoría con secuelas.

Twenty seven cases of Pott's disease in children between 6 months and 14 years of age are reported. They were observed during a two years period, with a follow-up time till 18 months. In report to their ages 67% were lower than 6 years old and two of them lower than one year old. There was a male sex predominance. The 'hump' sign was the most frequently observed. The most frequent damage localization was at dorsal level. All patients received treatment with four drugs, 14 of them needed orthopedic methods, and only 6 were submitted to surgical correction. In more than 50% of the patients there was good outcome toward cure or improvement with sequelae.

Mal de Pott en niños

Pott's disease in children

Patricia Campos^I; Eduardo Chaparro^II; Federico Valença^III; Alfredo Fuentes-Davila^III

^IHospital General Base Cayetano Heredia, Universidad Peruana Cayetano Heredia: Neuropediatra, Departamento de Neurología

^IIHospital General Base Cayetano Heredia, Universidad Peruana Cayetano Heredia: Pediatra, Departamento de Pediatría

^IIIHospital General Base Cayetano Heredia, Universidad Peruana Cayetano Heredia: Neurocirujáno, Departamento de Cirugía

RESUMEN

Se presentan 27 casos de mal de Pott en niños entre 6 meses y 14 años de edad vistos durante un período de 2 años con tiempo de seguimiento hasta de 18 meses, 67% menores de 6 años y de ellos 2 pacientes menores de 1 año. Hubo predominio de pacientes de sexo masculino. El síntoma "jiba" fue el mas frecuente. La localización mas frecuente de la lesión fue el nivel dorsal. Todos recibieron tratamiento médico con 4 drogas, 14 de ellos necesitaron de métodos ortopédicos y solo 6 fueron sometidos a corrección quirúrgica. En mas del 50% hubo una evolución favorable hacia la curación o la mejoría con secuelas.

SUMMARY

Twenty seven cases of Pott's disease in children between 6 months and 14 years of age are reported. They were observed during a two years period, with a follow-up time till 18 months. In report to their ages 67% were lower than 6 years old and two of them lower than one year old. There was a male sex predominance. The 'hump' sign was the most frequently observed. The most frequent damage localization was at dorsal level. All patients received treatment with four drugs, 14 of them needed orthopedic methods, and only 6 were submitted to surgical correction. In more than 50% of the patients there was good outcome toward cure or improvement with sequelae.

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1. Auerbach O - Meningitis tuberculosa. Clin Med N Am 2: 339, 1985.
2. Bailey HL, Sister MG, Hodgson AR, Shin JS - Tuberculosis of the spine in children. J Bone Joint Surg 54A:1633. 1972.
3. Bell W, McCormick W - Neurologic Infections in Children. Ed 2. Sauders, Philadelphia, 1981, pag. 198.
4. Bosworth DM, Levine J - Tuberculosis of the spine: an analysis of cases treated surgically. J Bone Joint Surg 31A: 267, 1949.
5. Cleveland M - Tuberculosis of the spine: a clinical study of 203 patients from St Luke's Hospital. Am Rev Tuberc 41: 215, 1940.
6. Dickon J A S - Spinal tuberculosis in Nigerian children: a review of ambulant treatment. J Bone Joint Surg 49B: 682, 1967.
7. Dobson J - Tuberculosis of the spine: an analysis of the results of consecutive treatment and of the factors influencing the prognosis. J Bone Joint Surg 33B: 517, 1951.
8. Fith Report of the Medical Research Councial Working - Party on Tuberculosis of the Spine - A five years assesnient of controlled trails of in-patient and out-patient treatment and of plaster-of-Paris jackets for tuberculosis of the spine in children on standard chemotherapy: studies in Masan and Pausan, Korea. J Bone Joint Surg 58B: 399, 1976.
9. Grenfield J G - Neuropathology. Edward Arnold, London, 1958.
10. Hodgson AR - Report of the findings and results in 300 cases of Pott's disease treated by anterior fusion of the spine. J Western Pacific Orthop Ass 1: 3, 1964.
11. Idriss Z, Sinno A, Kronfol N - Tuberculous meningitis in children. Am J Dis Child 130: 364, 1976.
12. Konstam PG, Blesovsky A - The ambulant treament of spinal tuberculosis. Br J Surg 50:26, 1962.
13. Lefèvre AB, Diament A. (eds) - Neurologia Infantil. Sander, São Paulo, 1980, pg 588.
14. Manreza LA - Tratamento da tuberculose espinal. Arq Bras Neurocir 3: 141, 1985.
15. Martin NS - Tuberculosis of the spine. J Bone Joint Surg 52B:613, 1970.
16. Polo H, Cerna A, Diaz A, Apac A - Mal de Pott en niños. Acta Med Per 13: 36, 1986.
17. Seddon HJ - Pott's paraplegia: prognosis and treatmente. Br J Surg 22: 769, 1935.
18. Sorrel EM, Sorrel-Déjerine Y - Recherches sur le transit du lipiodol par voie sous-arachnoidienne dans les differentes formes de paraplegie pottique. Rev Neurol (Paris) 2: 88, 1924.

Fechas de Publicación

Publicación en esta colección
06 Jun 2011
Fecha del número
Set 1989

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Auerbach O - Meningitis tuberculosa. Clin Med N Am 2: 339, 1985.

[2] 2. Bailey HL, Sister MG, Hodgson AR, Shin JS - Tuberculosis of the spine in children. J Bone Joint Surg 54A:1633. 1972.

[3] 3. Bell W, McCormick W - Neurologic Infections in Children. Ed 2. Sauders, Philadelphia, 1981, pag. 198.

[4] 4. Bosworth DM, Levine J - Tuberculosis of the spine: an analysis of cases treated surgically. J Bone Joint Surg 31A: 267, 1949.

[5] 5. Cleveland M - Tuberculosis of the spine: a clinical study of 203 patients from St Luke's Hospital. Am Rev Tuberc 41: 215, 1940.

[6] 6. Dickon J A S - Spinal tuberculosis in Nigerian children: a review of ambulant treatment. J Bone Joint Surg 49B: 682, 1967.

[7] 7. Dobson J - Tuberculosis of the spine: an analysis of the results of consecutive treatment and of the factors influencing the prognosis. J Bone Joint Surg 33B: 517, 1951.

[8] 8. Fith Report of the Medical Research Councial Working - Party on Tuberculosis of the Spine - A five years assesnient of controlled trails of in-patient and out-patient treatment and of plaster-of-Paris jackets for tuberculosis of the spine in children on standard chemotherapy: studies in Masan and Pausan, Korea. J Bone Joint Surg 58B: 399, 1976.

[9] 9. Grenfield J G - Neuropathology. Edward Arnold, London, 1958.

[10] 10. Hodgson AR - Report of the findings and results in 300 cases of Pott's disease treated by anterior fusion of the spine. J Western Pacific Orthop Ass 1: 3, 1964.

[11] 11. Idriss Z, Sinno A, Kronfol N - Tuberculous meningitis in children. Am J Dis Child 130: 364, 1976.

[12] 12. Konstam PG, Blesovsky A - The ambulant treament of spinal tuberculosis. Br J Surg 50:26, 1962.

[13] 13. Lefèvre AB, Diament A. (eds) - Neurologia Infantil. Sander, São Paulo, 1980, pg 588.

[14] 14. Manreza LA - Tratamento da tuberculose espinal. Arq Bras Neurocir 3: 141, 1985.

[15] 15. Martin NS - Tuberculosis of the spine. J Bone Joint Surg 52B:613, 1970.

[16] 16. Polo H, Cerna A, Diaz A, Apac A - Mal de Pott en niños. Acta Med Per 13: 36, 1986.

[17] 17. Seddon HJ - Pott's paraplegia: prognosis and treatmente. Br J Surg 22: 769, 1935.

[18] 18. Sorrel EM, Sorrel-Déjerine Y - Recherches sur le transit du lipiodol par voie sous-arachnoidienne dans les differentes formes de paraplegie pottique. Rev Neurol (Paris) 2: 88, 1924.

Brasil

Brasil

Mal de Pott en niños

Pott's disease in children

Resúmenes

Fechas de Publicación