cosyntropin and Discitis

It is about a retrospective study dealing with the place of tuberculous spondylitis with discitis among medullary wounds hospitalized in our service from January 1995 to June 1998 and their medical care. Twenty reports have been done making: 30.30% of our medullary wounds. We have noted a male prevalence and precocity. The flaccido-spastic paraplegia with sensitive level prevails the clinical chart (45%) this in correlation with thoracic and lumbar localization predominance (75%) at the radiography. All patients have had for their benefit an anti-tuberculous treatment and eleven among them had also tetracosactide (synactène retard). This has allowed us to observe a quick recovery of the motor deficit for nine patients: 81.8% of the patients who have had the therapeutic association; 45% of the whole. No patient had an operation.

Topics: Antitubercular Agents; Biopsy; Cosyntropin; Discitis; Drug Therapy, Combination; Endemic Diseases; Female; Health Services Needs and Demand; Hospitalization; Humans; Incidence; Male; Mauritania; Paraplegia; Prevalence; Recovery of Function; Retrospective Studies; Sex Distribution; Treatment Outcome; Tuberculosis, Spinal