Spinal TB treatment

2021-05-10 16:24:25
Hi everyone, I want to know something about my father whose age is 56 years. He has been effected with Spine TB and it's been a month being on medications now. Now he is not getting fever that he earlier used to but his pain has gradually increased. I have attached report and medicine prescription as well. The dr asked to do the MRI again as pain has increased. I want to know that by when do we see relief in pain and does this increase in pain happens in this disease ? Medicine has been changed today by dr, added picture of prescription. Please help me with a good answer. I would be really grateful to get a good response 🙏🙏 Thanks in advance 🙏
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Definately a case of Port's spine. Might need FNAC of pus and should be tested for rifampicin resistance. Please consult Neurologist
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Consult Neurologist

Answered2021-05-10 17:04:10

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Answered2021-05-10 17:01:15

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If the pain has increased, get a new scan done as the one you posted is 1 month old. New fracture can give rise to such pain. Also, the new scan can show any changes ( progress or regress ). Also, a CT guided FNAC will help to confirm definitive diagnosis and whether there is any resistance to drugs.

Answered2021-05-11 14:00:42

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If patient is on treatment and responding, pain should to worsen. Need to know whether he was started on tuberculosis treatment on mri findings only , or some biopsy was done??? If it was histopath documented than need to rule out drug resistance !!

Answered2021-05-11 01:02:18

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