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J Glob Infect Dis. 2018 Jul-Sep;10(3):166-168. doi: 10.4103/jgid.jgid_82_17.

Pott Disease in a 14-year-old Girl Affected by Congenital Lamellar Ichthyosis Type 3 and Diabetes Mellitus.

Journal of global infectious diseases

Maria Elena Cucuzza, Flavia La Mendola, Angela D'Ambra, Pierluigi Smilari, Filippo Greco, Agata Fiumara, Andrea D Praticò

Affiliations

  1. Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
  2. Maurice Wohl Clinical Neuroscience Institute, King's College London, London, UK.

PMID: 30166818 PMCID: PMC6100339 DOI: 10.4103/jgid.jgid_82_17

Abstract

Extrapulmonary manifestations of tuberculosis (TB) are particularly frequent during childhood, and usually involve the lymph nodes and the skull. They are related to predisposing immunosuppression conditions. A patient affected by diabetes mellitus type 1 (DMT1) and congenital lamellar ichthyosis type 3 came at our attention with a 4-year history of recurrent parotitis and severe back pain and inferior limb hypomobility, which had lasted for 6 months. A diagnosis of chronic TB parotitis combined with Pott disease was performed after a suggestive spinal magnetic resonance imaging, and positive culture and polymerase-chain reaction examination. Surgical aspiration of the fluid collection and a 12-month antitubercular treatment resulted in complete resolution of the symptomatology. This is the first report of a Pott disease in a patient affected by the two co-occurrences of two immunosuppression diseases such as DMT1 and congenital lamellar ichthyosis type 3.

Keywords: Congenital lamellar ichthyosis type 3; Pott disease; diabetes mellitus type 1; extrapulmonary tuberculosis; spinal tuberculosis; tuberculosis

Conflict of interest statement

There are no conflicts of interest.

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