Advanced multifocal tuberculous spondylitis without disk involvement and with multidrug-resistant bacilli.
case_report · Level V
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Abstract
In this brief report, we describe a 23-year-old immunocompetent Nigerian patient with extensive multifocal tuberculous spondylitis without disk involvement. Cultures of sputum samples and biopsy samples from the L4 vertebra were positive for tuberculosis; drug-susceptibility testing of the isolates revealed multidrug resistance. Treatment with second-line drugs resulted in an excellent interim outcome after 6 months, without the need for surgical intervention.
Medical subject headings
- Drug Resistance, Multiple, Bacterial
- Mycobacterium tuberculosis
- Spondylitis
- Tuberculosis, Multidrug-Resistant
- Tuberculosis, Osteoarticular