TUBERCULOUS MYELITIS AS AN UNUSUAL PRESENTATION OF A COMMON DISEASE IN SUDAN
Etedal Ahmed A. Ibrahim*, Khalid Mohammed Ali and Lina Hussain Mustafa
Background: Tuberculosis(TB) is a common disease in Sudan. Neurological consequences of TB are frequently encountered in our practice of neurology particularly tuberculosis of the spine(Pott,s disease). There are few case reports of tuberculous myelitis in literature. Case description: A 47 year old man, farmer from eastern Sudan presented with lower limbs weakness who was diagnosed clinically, with the help of MRI spine and supported laboratory tests as tuberculous myelitis. IV methyl prednisolone was used initially with remarkable response. Discussion: In our case we match between the clinical sense and image results so we came with a preliminary diagnosis which was infection and we came with a final diagnosis of myelitis rather than discitis. Conclusion: Our case highlights that tuberculous myelitis should be considered in most of patients in Sudan who present with features suggestive of TB of spine because early use of iv methyle prednisolone will remarkably affect the prognosis.
[Full Text Article]