Clinical Reflection of Misdiagnosed Process of Tuberculous Cervical Spondylitis in Several Hospitals
WANG Wei-wei
JIANG Ting
LI Chun-yu
CHEN Jun
HE Qi-fang
ZHANG Heng-dong
ZHANG Jin-song
BAI Ying
ZHU Bao-li
CHEN Yan
Abstract：Objective To investigate the early method of differential diagnosis of tuberculous cervical spondylitis in order to avoid misdiagnosis. Methods Process of misdiagnosis and mistreatment of a patient with tuberculous cervical spon-dylitis was retrospectively analyzed,and related literature was reviewed. Results The patient had neck pain associated by fe-ver for more than 1 month,and aggratated pain affected sleep,and then the patient visited a doctor. The patient had been mis-diagnosed as having cervical spondylosis,old pulmonary tuberculosis,cerebral apoplexy and neck myelitis successively. After ruling out the above-mentioned diagnosis,the erythrocyte sedimentation rate was 21 mm/h,and tuberculosis T cell detection was positive. CT scanning of cervical vertebra showed that inferior edge of the 6 th cervical vertebra was discontinuous sclerotin and narrowing intervertebral space. The final diagnosis was tuberculous cervical spondylitis. The patientˊs condition was re-lieved after standard antituberculous therapy by special hospitals. Conclusion The diagnosis for patients with neck pain asso-ciated by shoulders numbness should be considered neck structure and vascular diseases such as trauma,cervical spondylosis and cerebral apoplexy in addition to tuberculous cervical spondylitis.
Keywords：TuberculosisSpineCervical spondylosisMisdiagnosisStrokeMyelitis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 7-9 )