POTT’S DISEASE IN A PAEDIATRIC PATIENT

Abstract

Abstract

This case report discusses the diagnostic and therapeutic challenges associated with Pott's Disease, an extrapulmonary manifestation of tuberculosis, especially in regions with varying TB prevalence and in individuals with a family history of TB. We present the case of a 12-year-old girl from the UAE who presented with a 3-month history of intermittent backaches, low-grade fever, and night sweats. Her father had a prior diagnosis of pulmonary TB, increasing her risk of TB infection. When it comes to the diagnostic interventions, it included a thorough clinical examination, laboratory tests (CBC, ESR, CRP, Tuberculin skin test), and radiological imaging (X-ray and MRI of the spine). The patient was started on a multi-drug pharmacological treatment regimen for TB. Despite non-compliance with treatment for a period, the patient eventually responded well to pharmacological treatment, showing clinical and radiological improvement. This case underscores the importance of early suspicion, comprehensive diagnostic evaluation, and patient education in managing Pott's Disease. It also highlights the need for a combination of imaging studies and microbiological tests for diagnosis and the consideration of surgical intervention in complicated cases. As global migration and urbanization trends continue, understanding and managing such cases is crucial for public health efforts to combat the spread of tuberculosis. This case emphasizes the significance of prompt diagnosis, patient-centric treatment strategies, and patient and family education for successful treatment outcomes.