• We studied two cases of disseminated tuberculosis with vertebral arch involvement in drug addicts seropositive for human immunodeficiency virus. The first patient developed a paraplegia while he was recovering from a meningeal tuberculosis. On the abdominal plain roentgenogram, the right transverse process of L-2 was absent, and a computed tomographic scan revealed destruction of the right vertebral arch together with a collection in the paravertebral area. The second patient had miliary tuberculosis and complained of lumbar pain. The radiologic findings were similar to those in the first case, but at the L-4 level.
(Arch Intern Med 1988;148:1125-1127)
Mallolas J, Gatell JM, Rovira M, Conget JI, Trilla A, Soriano E. Vertebral Arch Tuberculosis in Two Human Immunodeficiency Virus—Seropositive Heroin Addicts. Arch Intern Med. 1988;148(5):1125-1127. doi:10.1001/archinte.1988.00380050129019