Bir yoshli bolada umurtqa pog‘onasi va ko`krak ichi limfa tugunlari zararlanishi bilan kechgan birlamchi tarqalgan sil: klinik holat hisoboti
Litsenziya: cc-by
Annotatsiya
Spinal tuberculosis is a severe form of extrapulmonary tuberculosis and is rare in infants. Clinical signs are often nonspecific, which can lead to a delayed diagnosis, especially in cases without a confirmed history of contact with a patient with tuberculosis. We present a clinical case of primary disseminated tuberculosis with involvement of the intrathoracic lymph nodes and the spine in a one-year-old child. The child was hospitalized due to a cessation in motor development following a fall-related injury, after which he stopped crawling and attempting to stand. Imaging studies revealed enlarged intrathoracic lymph nodes and destructive changes in the vertebral bodies at the Th12-L1 level, consistent with tuberculous spondylitis. Antituberculosis treatment was initiated along with immobilization of the spine using a plaster cast, and clinical improvement was observed. This case highlights the need to consider tuberculosis in the differential diagnosis for infants presenting with musculoskeletal system involvement and intrathoracic lymphadenopathy, even when clear epidemiological data is unavailable.