A Case Study on Koch’s Spine

Harshil Gadhiya; Divy H Bhimani; Kushal Parekh

Harshil Gadhiya 5th Year Pharm D Student, School of Pharmacy, RK University, Rajkot, Gujarat, India.
Divy H Bhimani 5th Year Pharm D Student, School of Pharmacy, RK University, Rajkot, Gujarat, India.
Kushal Parekh Assistant Professor, School of Pharmacy, RK University, Rajkot, Gujarat, India.

Keywords: Skeletal Tuberculosis, Koch’s Spine, Tuberculous Vertebral Osteomyelitis, Antituberculosis Drug (ACT)

Abstract

A majority of persistent spinal infections (88%) are caused by spinal tuberculosis, commonly known as Koch’s spine and tuberculous vertebral osteomyelitis. It can happen at any level of the spine, despite the fact that the thoracolumbar junction is where it most frequently occurs. Avoiding neurological problems and spinal abnormalities requires early diagnosis and treatment. In this report, we have discussed the case of a 61-year-old man who had spinal tuberculosis and was given anti-tuberculosis treatment.

How to cite this article: Gadhiya PH, HD Bhimani, Parekh K. A Case Study on Koch’s Spine. Chettinad Health City Med J. 2023;12(4):110-112. DOI: https://doi.org/10.24321/2278.2044.202380

References

Agashe VM, Johari AN, Shah M, Anjum R, Romano C, Drago L, Sharma HK, Benzakour T. Diagnosis of

osteoarticular tuberculosis: perceptions, protocols, practices, and priorities in the endemic and non-endemic areas of the world - a WAIOT view. Microorganisms. 2020 Aug 28;8(9):1312. [PubMed] [Google Scholar]

Garg RK, Somvanshi DS. Spinal tuberculosis: a review. J Spinal Cord Med. 2011;34(5):440-54. [PubMed] [Google

Scholar]

Sonone SV, Dahapute AA, Keny SA, Marathe NA, Dhole KP. Unusual presentation of Koch’s spine involving posterior elements of vertebra–a case report. J Orthop Case Rep. 2019;9(4):41. [PubMed] [Google Scholar]

Owolabi LF, Nagoda MM, Samaila AA, Aliyu I. Spinal tuberculosis in adults: a study of 87 cases in Northwestern Nigeria. Neurology Asia. 2010;15(3):239- 44. [Google Scholar]

Golwala P, Kapoor C, Shah M, Merh A, Kansagra A. A case of Koch’s spine treated with modified transpedicular vertebral curettage and posterior fixation: a novel technique. Cureus. 2016 Dec 6;8(12):e915. [PubMed] [Google Scholar]

Rasouli MR, Mirkoohi M, Vaccaro AR, Yarandi KK, Rahimi-Movaghar V. Spinal tuberculosis: diagnosis and management. Asian Spine J. 2012 Dec;6(4):294. [PubMed] [Google Scholar]