A 48-year-old woman complains of pain in the thoracic spine, sensitivity disorder in the lower body, disrupted motor function of the lower limbs, body temperature rise up to 37,5°C. She has been suffering from this condition for 3 years. Treatment by various specialists was ineffective. X-ray reveals destruction of adjacent surfaces of the VIII and IX vertebral bodies. In the right paravertebral area at the level of lesion there is an additional soft tissue shadow. What diagnosis is most likely?

Answer options

1. Osteochondrosis
2. Tuberculous spondylitis of the thoracic spine
3. Multiple sclerosis
4. Metastases into the spine
5. Spinal tumor

Explanation

A 48-year-old woman complains of pain in the thoracic spine, sensitivity disorder in the lower body, disrupted motor function of the lower limbs, body temperature rise up to 37,5oC. She has been suffering from this condition for 3 years. Treatment by various specialists was ineffective. X-ray reveals destruction of adjacent surfaces of the VIII and IX vertebral bodies. In the right paravertebral area at the level of lesion there is an additional soft tissue shadow. What diagnosis is most likely?A. Tuberculous spondylitis of the thoracic spine or Pott’s disease is a form of tuberculosis that occurs outside the lungs whereby disease is seen in the vertebrae.B. Spinal tumor is a growth that develops within the spinal canal.C. Multiple sclerosis a demyelinating disease in which the insulating covers of nerve cells in the brain and spinal cord are damaged.D. Metastases into the spine is a vague term which can be variably taken to refer to metastatic disease to any of the following: vertebral metastases (94%), may have epidural extension intradural, extramedullary metastases (5%), intramedullary metastases (1%).E. Osteochondrosis is a family of orthopedic diseases of the joint that occur in children, adolescents, and other rapidly growing animals, particularly pigs, horses, dogs, and broiler chickens.Its tuberculosis spondylitis of the thoracic spine because the patient is more chronically ill than acute; subdermal abscess which is typical for tuberculosis (additional shadow in the soft tissue) is present and treatment by various specialists was ineffective.