TUBERCULOSIS IN MIGRANT/RETURNEENIGERIANS AND GOING FORWARD: REPORT OF TWO CASES OF POTT’S DISEASEAND REVIEW OF LITERATURE
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Keywords

Nigerian migrants, pulmonary tuberculosis, Pott’s disease, conventional radiography, computerized axial tomography

Abstract

Background: Tuberculosis (TB) is an ancient infectious disease caused by the mycobacterium tuberculosis. Tuberculosis was and is a serious problem for the individual patient and for public health. Globally there are 8 million new cases per year with 2 to 3 million deaths. Although effective medication and vaccination are available, TB is still present today due to poor hygiene/socio-economic conditions and immune-compromised state (HIV/AIDS). Presently in Nigeria, migration has become social challenge and people with immune-compromised status have an increased risk of developing extra-pulmonary tuberculosis, including spinal TB.
Case Report Two case reports are made with a review of articles to illustrate the trend of Pott’s disease seen in our environment and management of cases reported. Plain radiographs are important in the diagnosis of pulmonary tuberculosis and Pott’s disease. Paraplegia (Pott’s paraplegia) is the most serious complication of spinal tuberculosis and early detection and management is needed in prevention of this debilitating complication as shown in these cases reported.
Conclusion Various forms of extra-pulmonary complications from tuberculosis especially spinal TB occur and knowledge of the full spectrum of radiological features of the sequelae and complications are important to facilitate diagnosis. The need to review the protocol for Nigerian returnees in the light of the health consequences is highlighted.

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