Advanced Multifocal Tuberculous Spondylitis without Disk Involvement and with Multidrug‐Resistant Bacilli
1Asklepios Professional Clinic München‐Gauting, Centre for Pneumology and Thorax Surgery, Teaching Hospital of the Ludwig‐Maximilians‐University, Gauting, and Departments of 2Internal Medicine and 3Traumatology, Orthopaedic and Reconstruction Surgery, Munich Municipal Hospital–Harlaching Hospital, Educational Establishment of the Ludwig‐Maximilians‐University, Munich, Germany
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.
Received 19 April 2007; accepted 2 July 2007; electronically published 6 September 2007.
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Online publication date: 1-Aug-2008.
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