<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>Spinal tuberculosis is the most common form of skeletal extrapulmonary tuberculosis (EPTB). Extensively drug-resistant TB (XDR-TB) is a rare type of multidrug-resistant tuberculosis (MDR-TB) that is resistant to isoniazid and rifampicin, plus any fluoroquinolone and at least one of three second-line injectable drugs (SLI) (i.e., amikacin, kanamycin, or capreomycin) as per the old guidelines.</p>
<p>We present the case of a 13-year-old girl, with lower back pain for 6 months, without other symptoms. She was radiologically diagnosed with tuberculous osteomyelitis without confirmation of acid-fast bacilli. Due to our endemic area, the initial tuberculosis treatment was empiric. The patient received treatment from a private hospital but after 6 months developed lower limb weakness. She was referred to our center where XDR-TB was confirmed by bacteriological examination. She was managed with extended second-line antituberculous chemotherapy according to the new WHO recommendation with a good evolution in the first months of therapy. Appropriate sensitivity-antituberculosis agents and good patient compliance are the keys to ensuring effective treatment of the XDR-TB condition.</p>
</abstract>

Spinal tuberculosis is the most common form of skeletal extrapulmonary tuberculosis (EPTB). Extensively drug-resistant TB (XDR-TB) is a rare type of multidrug-resistant tuberculosis (MDR-TB) that is resistant to isoniazid and rifampicin, plus any fluoroquinolone and at least one of three second-line injectable drugs (SLI) (i.e., amikacin, kanamycin, or capreomycin) as per the old guidelines.
We present the case of a 13-year-old girl, with lower back pain for 6 months, without other symptoms. She was radiologically diagnosed with tuberculous osteomyelitis without confirmation of acid-fast bacilli. Due to our endemic area, the initial tuberculosis treatment was empiric. The patient received treatment from a private hospital but after 6 months developed lower limb weakness. She was referred to our center where XDR-TB was confirmed by bacteriological examination. She was managed with extended second-line antituberculous chemotherapy according to the new WHO recommendation with a good evolution in the first months of therapy. Appropriate sensitivity-antituberculosis agents and good patient compliance are the keys to ensuring effective treatment of the XDR-TB condition.

Extensively drug-resistant tuberculosis of the spine: A rare case report

Department of Pulmonary Medicine and Orthopedics

Pneumologia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

{"article-title":"Extensively drug-resistant tuberculosis of the spine: A rare case report"}

Spinal tuberculosis is the most common form of skeletal extrapulmonary tuberculosis (EPTB). Extensively drug-resistant TB (XDR-TB) is a rare type of...

Extensively drug-resistant tuberculosis of the spine: A rare case report

Publicado en línea: 10 jun 2024

Páginas: 59 - 63

DOI: https://doi.org/10.2478/pneum-2024-0009

Palabras clave
spinal tuberculosis, XDR-TB, antituberculosis drug

© 2023 Saby Anna Kunjumon et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Extensively drug-resistant tuberculosis of the spine: A rare case report

Publicado en línea: 10 jun 2024

Páginas: 59 - 63

DOI: https://doi.org/10.2478/pneum-2024-0009

Palabras clavespinal tuberculosis, XDR-TB, antituberculosis drug

© 2023 Saby Anna Kunjumon et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Palabras clave
spinal tuberculosis, XDR-TB, antituberculosis drug