93
Views
0
CrossRef citations to date
0
Altmetric
CASE REPORT

Recurrent Spinal Tuberculosis with HIV Infection After Surgery: A Rare Case of Recurrence and Drug Resistance

, &
Pages 7827-7833 | Received 01 Sep 2023, Accepted 21 Dec 2023, Published online: 26 Dec 2023

Figures & data

Figure 1 X-ray images showed uneven density and narrowing of the L2/3 intervertebral space (A and B). CT showed a cavity in the L2/3 segment of the vertebra, bone destruction involving most of the vertebra, and multiple irregular sequestrum (red arrow) within the lesion (C and D), Sagittal MRI showed vertebral body and intervertebral disc low T1 signal and high T2 signal. After enhancement, the abscess wall was significantly enhanced (EH).

Figure 1 X-ray images showed uneven density and narrowing of the L2/3 intervertebral space (A and B). CT showed a cavity in the L2/3 segment of the vertebra, bone destruction involving most of the vertebra, and multiple irregular sequestrum (red arrow) within the lesion (C and D), Sagittal MRI showed vertebral body and intervertebral disc low T1 signal and high T2 signal. After enhancement, the abscess wall was significantly enhanced (E–H).

Figure 2 X-ray examination was performed on the third day after operation. The results showed that the internal fixation was firm and the position of the fusion cage was satisfactory.

Figure 2 X-ray examination was performed on the third day after operation. The results showed that the internal fixation was firm and the position of the fusion cage was satisfactory.

Figure 3 A mass at the incision site developed and ruptured at 4 months after operation.

Figure 3 A mass at the incision site developed and ruptured at 4 months after operation.

Figure 4 Lumbar CT and MRI: bilateral psoas major abscess formation, center liquefaction necrosis. Abnormal signals in the subcutaneous soft tissue of the lower back were considered inflammatory lesions and local sinus formation.

Figure 4 Lumbar CT and MRI: bilateral psoas major abscess formation, center liquefaction necrosis. Abnormal signals in the subcutaneous soft tissue of the lower back were considered inflammatory lesions and local sinus formation.

Figure 5 Ultrasound-guided right psoas major catheter drainage.

Figure 5 Ultrasound-guided right psoas major catheter drainage.