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Increasing Awareness of Low Incidence Disease as Immigration Rates Increase: A Recent Case of Pott’s Disease in Atlantic Canada

    Authors

    • Zachary William Stanton 1
    • Moira A. Law 2
    • Isdore Chola Shamputa 3
    • Duncan Webster 4
    • Kimberley Barker 5

    1 Dalhousie Medicine New Brunswick, MD Program, Saint John, New Brunswick, Canada

    2 Department of Psychology, University of New Brunswick, Saint John, New Brunswick, Canada

    3 Department of Nursing & Health Sciences, University of New Brunswick, Saint John, New Brunswick, Canada

    4 Division of Microbiology, Department of Laboratory Medicine, Saint John Regional Hospital, Saint John, New Brunswick, Canada

    5 Government of New Brunswick, Ministry of Health, Saint John, New Brunswick, Canada

,

Document Type : Case Report

10.33844/cjm.2023.6026
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Abstract

As Canada experiences and prepares for notable increases in immigration, health care professionals need to be aware of emerging cases of low incidence diseases, particularly when found in higher rates in the foreign-born population. Therefore, we report the case of a 20-year-old male immigrant presenting to a Canadian emergency department with a one year history of worsening back pain. In the emergency department, thoracic radiographs showed pathologic fractures at T10 and T11 with destructive changes from T8 to T12. Further, a computed tomography scan identified a large paravertebral abscess from T6 to L1, with osseous destruction and spinal stenosis. Magnetic resonance imaging showed bony deformity, epidural, pre- and paravertebral, and bilateral psoas abscesses, and a right-sided pleural effusion. Diagnosis was confirmed with direct molecular testing and treatment was initiated in a timely and efficacious manner. This case report highlights the need for health care providers to have a high index of suspicion and consideration of atypical presentations of low incidence diseases, particularly within the burgeoning immigrant population, to ensure quality health care services are delivered.

Keywords

  • Low incidence disease
  • Pott’s disease
  • Back pain
  • Immigration
  • Diagnosis
  • Treatment
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Canadian Journal of Medicine
Volume 5, Issue 1
April 2023
Page 1-7
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  • Article View: 376
  • PDF Download: 318

APA

Stanton, Z. William , Law, M. A. , Shamputa, I. Chola , Webster, D. and Barker, K. (2023). Increasing Awareness of Low Incidence Disease as Immigration Rates Increase: A Recent Case of Pott’s Disease in Atlantic Canada. Canadian Journal of Medicine, 5(1), 1-7. doi: 10.33844/cjm.2023.6026

MLA

Stanton, Z. William, , Law, M. A., , Shamputa, I. Chola, , Webster, D. , and Barker, K. . "Increasing Awareness of Low Incidence Disease as Immigration Rates Increase: A Recent Case of Pott’s Disease in Atlantic Canada", Canadian Journal of Medicine, 5, 1, 2023, 1-7. doi: 10.33844/cjm.2023.6026

HARVARD

Stanton, Z. William, Law, M. A., Shamputa, I. Chola, Webster, D., Barker, K. (2023). 'Increasing Awareness of Low Incidence Disease as Immigration Rates Increase: A Recent Case of Pott’s Disease in Atlantic Canada', Canadian Journal of Medicine, 5(1), pp. 1-7. doi: 10.33844/cjm.2023.6026

CHICAGO

Z. William Stanton , M. A. Law , I. Chola Shamputa , D. Webster and K. Barker, "Increasing Awareness of Low Incidence Disease as Immigration Rates Increase: A Recent Case of Pott’s Disease in Atlantic Canada," Canadian Journal of Medicine, 5 1 (2023): 1-7, doi: 10.33844/cjm.2023.6026

VANCOUVER

Stanton, Z. William, Law, M. A., Shamputa, I. Chola, Webster, D., Barker, K. Increasing Awareness of Low Incidence Disease as Immigration Rates Increase: A Recent Case of Pott’s Disease in Atlantic Canada. Canadian Journal of Medicine, 2023; 5(1): 1-7. doi: 10.33844/cjm.2023.6026

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