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1.
Pan Afr Med J ; 36: 277, 2020.
Article in English | MEDLINE | ID: mdl-33088406

ABSTRACT

Bone localization of tuberculosis mainly affects the thoracolumbar spine. The cervical spine is rare. Its diagnosis is often late which exposes to great instability and potentially serious complications. We report the case of a 12-year old girl with no medical history, showing torticollis and high temperature without neurological complication. In the physical examination, he had torticollis and pain in the third, fourth and fifth cervical vertebra. When the biopsy was performed, we find an inter apophysis (between C7 and D1) collection. The histological examination confirmed the diagnosis of apophysis tuberculosis. The management based on tuberculosis chemotherapy and immobilization started as soon as possible.


Subject(s)
Cervical Vertebrae/pathology , Torticollis/etiology , Tuberculosis, Spinal/diagnosis , Antitubercular Agents/administration & dosage , Biopsy , Cervical Vertebrae/microbiology , Child , Female , Fever/etiology , Humans , Neck Pain/etiology , Torticollis/microbiology , Tuberculosis, Spinal/complications , Tuberculosis, Spinal/drug therapy
2.
Pan Afr Med J ; 34: 95, 2019.
Article in English | MEDLINE | ID: mdl-31934238

ABSTRACT

Kienböck disease is a pathology that remains uncommon in children, therefore the number of published cases of Kienböck's disease before skeletal maturity is limited. The etiology of Kienböck's disease is still controversial. Although many therapeutic methods are described in the literature. There is no consensus treatment for this pathology. We describe a case of Kienböck's disease of an 11-year-old girl who presented with avascular necrosis of the lunate bone confirmed by the radiologic pattern. And who was treated with 10 weeks of splinting with satisfying clinical outcome. Wrist pain and other symptoms resolved after 2 months. A magnetic resonance imaging (MRI) confirmed partial revascularization of the lunate. After 18 months of follow-up the patient remains asymptomatic.


Subject(s)
Lunate Bone/pathology , Magnetic Resonance Imaging , Osteonecrosis/diagnostic imaging , Child , Female , Follow-Up Studies , Humans , Lunate Bone/diagnostic imaging , Osteonecrosis/therapy
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