Spinal Infections
A 45-year-old male migrant worker from Southeast Asia presents with 3 months of progressive lower back pain and constitutional symptoms including night sweats and 8kg weight loss. Examination reveals a psoas sign (hip held in flexion) and tenderness over L2-L4. MRI shows a large psoas abscess (15cm × 6cm) with associated vertebral body destruction at L3/L4 and paradiscal involvement. CT-guided aspirate grows acid-fast bacilli. Regarding psoas abscess and spinal tuberculosis:
Mark each as TRUE or FALSE
Psoas abscess may be primary (haematogenous spread, often Staphylococcus aureus) or secondary (conti...
Classic features of spinal tuberculosis (Pott disease) include: paradiscal vertebral body destructio...
MRI findings in pyogenic discitis and tuberculous spondylitis are identical and cannot be differenti...
Management of tuberculous psoas abscess includes: anti-tuberculous chemotherapy (quadruple therapy f...
Indications for surgical intervention in spinal tuberculosis include: progressive or severe neurolog...
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Click T (True) or F (False) for each option