A case report of a young woman with spinal tuberculosis: Pharmacological managements and rehabilitation approach (CARE- compliant)

Abstract

A case report of a young woman with spinal tuberculosis: Pharmacological managements and rehabilitation approach (CARE- compliant) Spinal tuberculosis (TB) is one of the rare form of TB in young patient. This can result in serious complications if left untreated or treated inadequately. A different rehabilitation approach is needed for this spinal condition without which there is a chance of poor prognosis. Our patient, 21 years old women, presented with complaints of upper back pain for 7-month and occasional fever for 5-month. This chronic upper back pain was mild to moderate in nature and shared both mechanical and inflammatory features. Fever was occasional, low grade and evening rise of temperature was present. She had anemia, tender upper thoracic area and normal neurological findings. She was diagnosed as tubercular spondylodiscitis from histopathology, MRI and biochemical evidence. She was treated with antiTB chemotherapies for 6 months with inadequate response and continued long for 12 months after further evaluation. A customized, extensive rehabilitation program was planned for her considering short term and long-term outcomes. Duration of anti TB drugs in extra pulmonary TB is a debate. Medical diagnosis and rehabilitation both are equally necessary for improving quality of life. Early diagnosis, proper drug treatment and customized rehabilitation can give nearly full remedy.