Клинический случай туберкулезного спондилита

Aim. The article briefly describes a clinical case of tuberculous spondylitis. Material and methods. The patient hospitalyzed with pain in back and signs of acute nephritis. Results and discussion. the diagnosis of hemorrhagic fever with renal syndrome was excluded. The final diagnosis was acute tubulointerstitial nephritis. The patient was discharged with improvement. One week after discharge, pain appeared again and fever. These symptoms occurred at physical exertion. The multislice CT scan of the spine showed signs of spondylodiscitis of 7—8 thoracic vertebrae with presence of paravertebral infiltration. Conclusion. The final clinical diagnosis was made by phthisio orthopeditian: Tuberculous spondylitis of the spine, spondylitis phase, complicated by paravertebral abscess. It was recommended to perform operative treatment in the surgical department of the TB dispensary.