TB or Not TB- That is the Question: Misdiagnosis of Spinal Metastasis As Tuberculosis Spine
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Introduction: Due to the increased prevelance of Tubeculosis and the practical acceptance of Trial Anti Tubercular Therapy (ATT), it is the first diagnosis that comes to our mind while anaplastic conditions are our last bet.On failure to respond to ATT, we go for Gene Xpert test, biopsy and other tests to check for Drug Resistance TB or anaplastics. Aim; To find the correct diagnosis of nonresponders to ATT Material and Methods:A retrospective study of the case records of 32 non responders on conventional ATT to find out the actual etiology was done.Anonresponder was defined as one who showed no improvement or actual deterioration after 4 weeks of conventional ATT. Among other investigations, biopsy, Gene Xpert test, work up for metastasis of unknown origin was found to be performed wherever needed for the correct diagnosis.Results: Out of 21, 15 of the nonresponders were anaplastics, 3 were MDR TB and 3 were miscellaneous. None were cases of drug sensitive TB
Authors and Affiliations
Dr. Arnab Sinha, Dr. Ritesh Runu
Keywords
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- EP ID EP250793
- DOI 10.9790/0853-1612064750
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