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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Left Leg Pain, MRI Suggests Increased Soft Tissue. Had Zycell, AKT 4. Still Pressure On L4. What Next ?

i am 14 year old. I have left leg pain. 3 month back, in MRI, Doctor has detected SI join infection that may be due to TB. I want thro 2nd MRI and found soft tissue increased. Between 1st and 2nd MRI, doc has give me Zycell 100 ( as my HLA B27 was also positive) After 2nd MRI, I have started taking AKT4 (all 4 tablets at a time before breakfast from last 70days...) Question:shd we take all tablet at a time be4 breakfast ...will that add the drug resistance risk?) Further, after 70 days,i have gone thro another MRI, but found that soft tissue has further increased and mild pressue on L4 as well result leg thumb is not going upward( foot drop )...means AKT4 is not working?\ Can you advice what shd I do?
Mon, 10 Sep 2012
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Orthopaedic Surgeon,  's  Response
Hello.
Thanks for writing to us.
Your follow up MRI is suggestive of deterioration of your symptoms as there is a foot drop also. The diagnosis of bone TB needs to confirmed with the help of ELISA or a bone biopsy so that proper treatment can be given.
I hope this information has been both informative and helpful for you.
Regards,
Dr. Praveen Tayal
drtayal72@gmail.com
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Left Leg Pain, MRI Suggests Increased Soft Tissue. Had Zycell, AKT 4. Still Pressure On L4. What Next ?

Hello. Thanks for writing to us. Your follow up MRI is suggestive of deterioration of your symptoms as there is a foot drop also. The diagnosis of bone TB needs to confirmed with the help of ELISA or a bone biopsy so that proper treatment can be given. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com