PMC7538795_01
Preoperative sagittal T2-weighted (a) and STIR (b) thoracolumbar spine MRI showing Th11-Th12 vertebral body collapse and associated vertebral deformity, injured posterior walls, and paravertebral abscesses at Th10-L1.
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The thoracic MRI showed Th11-Th12 vertebral body collapse, (vertebral deformity with a Th11-Th12 sagittal Cobb angle of 53 ) involvement of the posterior vertebral walls, and paravertebral abscesses at Th10-L1 [Figure 1].
Preoperative sagittal (a) and axial (b) thoracolumbar CT scan with 3D reconstruction (c) showing vertebral deformity and a partial Th11-Th12 vertebral bodies fusion.
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Furthermore, the thoracolumbar CT scan with 3D reconstruction showed partial Th11-Th12 vertebral body fusion [Figure 2].
The genotype CM direct molecular test system for the detection and differentiation of 19 clinically relevant NTM from cultivated material. (https://www.hain-lifescience.de/uploadfiles/image/produkte/mikrobiologie/mykobakterien/reaction_myc_as.jpg).
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The "Genotype CMdirect" molecular test was carried out [Figure 3], with the identification and isolation of M. mucogenicum [Figure 4].
Identification and isolation of Mycobacterium mucogenicum based on genotype CM direct test.
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The "Genotype CMdirect" molecular test was carried out [Figure 3], with the identification and isolation of M. mucogenicum [Figure 4].
Six-month postoperative sagittal T2-weighted (a) and STIR (b) thoracolumbar spine MRI, and sagittal spine CT scan (c) showing an extensive decompression of the nerve structures, complete Th11-Th12 vertebral fusion, with a reduced sagittal Cobb angle and improved thoracic kyphosis.
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At 6-months, she was able to walk without assistance, and the MRI and CT scans confirmed adequate neural decompression/fusion (e.g., complete Th11-Th12 vertebral fusion, with a sagittal Cobb angle of 38 ) without recurrence of infection [Figure 5].