Tuberculous spondylodiscitis
Tuberculous spondylodiscitis TSD is a more suppurative disease with abscess formation requiring surgical intervention and with spinal complications. Erdem et al. propose that using a constellation of constitutional symptoms (fever, back pain and weight loss), pulmonary involvement, high inflammatory markers and radiological findings will help to differentiate between TSD and brucellar spondylodiscitis BSD at an early stage before microbiological results are available 1).
In most cases of tuberculous spondylodiscitis, the treatment is medical with appropriate antibiotic therapy even in cases of abscess 2). If the patient has neurological deficit, an abscess that did not resolve with antibiotics, and spinal instability 3) 4) , open surgery is recommended