Pott’s Disease is also referred to as David’s disease, tuberculous spondylitis, Pott’s curvature, or Pott’s caries. The disease was named after Percivall Pott who introduced the standard description of spinal tuberculosis in 1779. Pott’s disease patients may have different response to treatment and may not comply to proper way of medication that’s why they should be regularly monitored. Physical therapy may also be closely guarded.
Fever, night sweats, weight loss, and back pain among others are usually present in people having this disease. They may also experience numbness, weakness and tingling sensation that are usual symptoms of a spinal mass. The patient generally walks stiffly in an upright position to compensate for the pain brought about by the disease. One reliable proof that a patient is poorly responding to treatment is when the pain, spinal deformity, and exacerbation of neurological deficits continue rather than relieved or slowed down. This increases the risk of antimicrobial drug resistance, and the need for surgical procedure.
Those children diagnosed with Pott’s disease must adhere to a long-term treatment until their maximum growth potential is reached to prevent the risk of deformity exacerbations. Delayed onset complications with older patients may manifest and these may include deformity or instability. Observation is needed in all kinds of patients.
Pott’s disease is an extrapulmonary tuberculosis, which refers to conditions that are caused by tuberculosis bacillus involving organs other than lungs. Pott’s disease is a sort of tuberculous arthritis of the spine involving mainly the intervertebrail joints. Mycobacterium tuberculosis causes the vertebrae to become weak and soft, eventually destroying the bone. Consequently, the patient manifests an appearance of a hunchback due to developing a kyphosis or an abnormal curvature in the upper back. This is commonly called Pott’s curvature. When the spinal nerves are impinged by the curvature, the patient may also experience paralysis or so called Pott’s paraplegia. It is generally the thoracic and upper lumbar areas of the spine that are affected.
The most common test to detect infection is tuberculin skin test. Bone scans, blood tests, x-rays, and bone biopsy may be used to confirm the disease. Pott’s disease or tuberculosis of the spine is the most common and most life- threatening type of tuberculosis. If not diagnosed at once and treatment is delayed, it may progress to spinal deformity and spinal cord compression.
Early control and management of TB infection will prevent the development of arthritis and tuberculous spondylitis. Affected individuals who may have a positive PPD test but not active tuberculosis could reduce the risk of having them by properly taking their medications that protect against tuberculosis. To be able to deal with tuberculosis effectively, it is essential that patients take their medicines just as prescribed by doctors.


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