How long should a child be treated for bone and joint TB?

default
Posted on Wed, 30 Mar 2016 in Child Health
Question: Are we doing the correct procedure? Some doctor recommends that we need to go for 9-12 months of medication & pediatrician refer us to take for 6 months only. We are fearing about not to spread anywhere & side effects of the medicine. Doctor suggesting to take liver test after the 6 moths course completion. your advise is much needed. Thanks
doctor
Answered by Dr. Sumanth Amperayani 2 hours later
Brief Answer:
Give 9-12 months of treatment

Detailed Answer:
Hi...I have completely read through the history you have provided. My suggestions -

1. The treatment for bone and joint TB should be for 9-12 months period. The initial intensive phase can be for 2 months and the extended continuation phase can be for another 10 months. I would do this if I were your kid's pediatrician.

2. The treatment is hing on in the right direction and the drug combinations are Good.

3. You should be giving high protein diet. Give him 3 boiled eggs per day along with pulses. There are no food restrictions.

4. If you complete the course of 12 months without missing even a single day of medication then it is unlikely to spread elsewhere in the body.

5. You should take a liver function test after 6 months of treatment as drugs used for TB can sometimes cause hepatotoxicity.

Hope you found the answer helpful.

Let me know if I can assist you further.


Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
default
Follow up: Dr. Sumanth Amperayani 25 minutes later
Thanks you so much Doctor.. got your positive response on this.

TB is on the tissue.. Bones are not infected & we checked this through MRI & whole body bone scan.. In this case, how many months we have to go for treatment.

How do we ensure that mycobacteria is completely eradicated after the course completion..

doctor
Answered by Dr. Sumanth Amperayani 41 minutes later
Brief Answer:
In that case 6 months treatment would do

Detailed Answer:
Hi....sorry to have misunderstood your question. If bone and joint are not involved then the treatment need to be only total 6 months. The intensive phase should be 2 months followed by continuation phase of another 4 months.

To ensure that mycobacteria are completely eradicated we need to do a biopsy of the same site where it was previously done.

But usually we do not do this. We as clinicians go by our clinical judgement based on treatment response and well being of the kid like good appetite and weight gain and symptomatic relief.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8203 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Medical Procedures
Lab Tests
Medical Topics ,  

Recent questions on  MRI

doctor1 MD

Hi, my name is Julie and I am 54 yrs old. On the 22 oct 2011 I had a TIA which lasted a few hours, I was subsequently hospitilized for 4 days. I...

doctor1 MD

HI, I AM SUFFERING WITH SHOULDER PAIN[ WRIGHT] FOR LAST FOUR MONTHS .DOCTOR TOOK X RAY.HE TOLD ME AS I AM 60 PLUS ,THERE IS LOSS OF LUBRICANTS IN...

doctor1 MD

I am a 34 yo female, healthy except for some odd issues over the years. At 20 I had about a weeklong migraine (no prior instances), followed by...

doctor1 MD

I ve been having insomnia and consequest migraine headaches for the past 8 years. The very first neurologist i met had prescribed me an MRI which...

doctor1 MD

For past 12+ hours, I’ve had left side pain from left pectoral up through left shoulder and down my left arm to my hand. Sharpest pain is in...

doctor1 MD

I had a discectomy and I woke up in excruciating pain. A week later a laminectomy to stop the pain. Epidural injection,Morhine, Dilaudid , nothing...

doctor1 MD

I have been diagnosed with spondylothesis of the L5 and S1 region. I have had an mri and x-rays for my back. I had an epidural injection(2) in Nov...

Get personalised answers from verified doctor in minutes across 80+ specialties

123 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2