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Suggest treatment for extra-pulmonary TB

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Posted on Mon, 25 May 2015
Question: am speaking about my mother who is aged 54 years. Last XXXXXXX 2014 she was diagnosed with Extra-pulmonary TB due to enlargement of Left armpit lymphnodes. Her fever started from 12th May 2014. She was diagnosed on 23/6/2014. She was also complaining about severe headache. Tests were carried out and TB Meningitis was proved. She started with the first line of drugs consisting of

Isoniazid-300mg

Rifampicin-450mg

Pyrazinamide

Ethambutol-1000mg

Now she is having Rifamcin and Levofloxacin.
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Answered by Dr. Saurabh Gupta (1 hour later)
Brief Answer:
Get an X-ray/ MRI of spine done.

Detailed Answer:
Hi XXXX,

I have gone through the query in detail. It seems that your mother having symptoms of TB spine with compression over nerve roots.
I suggest her to get an X-ray/ MRI of spine done and get it evaluated by her doctor.
Continue taking anti-tubercular drugs as advised.Meanwhile for pain control she can take tramadol prepation after discussing her doctor.

Hope this helps you.

Warm regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Saurabh Gupta (5 minutes later)
Hi Doctor,

The pain started suddenly. Last Thursday when she got up from sleep she felt lot of pain. This also happened in her arms suddenly a few months back but disappeared after a few days.

But she is having the Anti TB drugs for last 11 months. It has almost reached its end. Only a month is left.

The issue is that she developed it suddenly. I checked her back. Only at one part she is having the pain and it is spreading only when she is walking. Last Wednesday she went to the market to buy vegetables. Suddenly after coming back she said that she is having pain and it escalated.

Thanks and Regards,
XXXX
doctor
Answered by Dr. Saurabh Gupta (9 hours later)
Brief Answer:
Ccould be due to muscular strain resulting in muscle spasm.

Detailed Answer:
Hi,

This acute pain could be due to muscular strain resulting in muscle spasm.
- If the pain is severe, she need bed rest till the pain resolves.
- Avoid lifting heavy weights as it imparts more strain on back.

If this pain persist, go for MRI and get it evaluated by your doctor.

Wishing her speedy recovery.

Warm regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Saurabh Gupta

Orthopaedic Surgeon, Joint Replacement

Practicing since :2004

Answered : 5930 Questions

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Suggest treatment for extra-pulmonary TB

Brief Answer: Get an X-ray/ MRI of spine done. Detailed Answer: Hi XXXX, I have gone through the query in detail. It seems that your mother having symptoms of TB spine with compression over nerve roots. I suggest her to get an X-ray/ MRI of spine done and get it evaluated by her doctor. Continue taking anti-tubercular drugs as advised.Meanwhile for pain control she can take tramadol prepation after discussing her doctor. Hope this helps you. Warm regards.