Background:

Spondylitis TB is an infection of Mycobacterium TB involving the spine. The course of spondylitis TB is relatively indolent. This study was conducted to evaluate the clinical presentation and a goal of surgery in two patients who had been operated for spondylitis tuberculosis (TB) in Siti Rahmah Hospital during Covid-19 pandemic.

Case Report:

Case 1, A 24-year-old woman, presented to the emergency department with a complaint of nausea, vomiting, weight loss, and severe back pain. On admission she was febrile and had leukocytosis. Initial spinal x-ray was performed and revealed osteolytic changes in the vertebral body of T10 and T11. Magnetic resonance imaging (MRI) of the spine illustrated spondylitis of T8 until T12, with paravertebral abscesses, which was suggestive spondylitis. Case 2, A 19-year-old woman, presented to policlinic with complain of paraplegi inferior and hipoestesi since 7 month ago. Magnetic resonance imaging (MRI) of the spine illustrated spondylitis of C7 until T4, with paravertebral abscesses, which was suggestive spondylitis. Both patients were operated on by an orthopedic doctor. Anatomical Pathology examination showed tuberculosis spodylitis. The patient treat surgical intervention and anti-tuberculosis drug. After surgical intervention, patient had improvement of sensoric and motoric.

Conclusions:

In a covid-19 pandemic situation, diagnosis and management of spondylitis TB must be carried out because it is related to the prognosis of the disease.

Keywords: Mycobacterium tuberculosis; Spondylitis, Covid-19 Pandemic

yuri haiga