Indian Spine Journal

CASE REPORTS
Year
: 2021  |  Volume : 4  |  Issue : 1  |  Page : 138--141

Infliximab-related tubercular spinal epidural abscess without osseous involvement in a patient with Crohn’s disease: A case report


Phani Kiran Surapuraju1, Srinivas M.2, Subramanian Swaminathan3 
1 Institute of Advanced Spine Sciences, Chennai, Tamil Nadu, India
2 Department of Gastroenterology, Gleneagles Global Health City, Chennai, Tamil Nadu, India
3 Department of Infectious diseases, Gleneagles Global Health City, Chennai, Tamil Nadu, India

Correspondence Address:
Phani Kiran Surapuraju
Gleneagles Global Health City, #439, Cheran Nagar, Sholinganallur, Medavakkam Road, Perumbakkam, Chennai 600100, Tamil Nadu.
India

Tubercular spinal epidural abscess without osseous involvement is an extremely rare presentation of spinal tuberculosis. We report a case of perianal Crohn’s disease, who developed a tubercular epidural abscess in lumbosacral spine without osseous involvement, secondary to infliximab administration, despite being on 6 months of antituberculous therapy for perianal tuberculosis even as the primary focus healed well. This is probably the first case of infliximab-related tubercular spinal epidural abscess without osseous involvement. A combination of surgical treatment and antitubercular therapy gives a good outcome. This case highlights the rare and atypical nature of presentation of spinal tuberculosis in this scenario and emphasizes the importance of vigilant follow-up to prevent delayed diagnosis, due to atypical presentations following anti-tumor necrosis factor therapy.


How to cite this article:
Surapuraju PK, M. S, Swaminathan S. Infliximab-related tubercular spinal epidural abscess without osseous involvement in a patient with Crohn’s disease: A case report.Indian Spine J 2021;4:138-141


How to cite this URL:
Surapuraju PK, M. S, Swaminathan S. Infliximab-related tubercular spinal epidural abscess without osseous involvement in a patient with Crohn’s disease: A case report. Indian Spine J [serial online] 2021 [cited 2021 Apr 19 ];4:138-141
Available from: https://www.isjonline.com/article.asp?issn=2589-5079;year=2021;volume=4;issue=1;spage=138;epage=141;aulast=Surapuraju;type=0