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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 7/2017

01-07-2017 | Clinical Practice: Clinical Images

Skeletal Tuberculosis

Authors: Saate Shakil, MD, Elliot Dickerson, MD, Rabih Geha, MD

Published in: Journal of General Internal Medicine | Issue 7/2017

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Excerpt

A 43-year-old man from the Philippines presented with lumbar pain and right lower extremity weakness. He was diagnosed with sciatica. Worsening pain, weight loss and elevated inflammatory markers prompted MRI of the spine, which showed multi-level spinal lesions. Bone biopsy showed granulomatous osteomyelitis. Sputum and bone acid-fast stains were negative. However, bone cultures subsequently grew Mycobacterium tuberculosis (M.Tb). …
Literature
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McLain RF, Isada C. Spinal tuberculosis deserves a place on the radar screen. Cleve Clin J Med. 2004;71(7):537–9.CrossRefPubMed
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Sunrise FL, Beachwood OH, Weston FL, Calendar MC. Persistent back pain in a young woman. Cleve Clin J Med. 2015;82(6):337–8.CrossRef
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Bell GR, Stearns KL, Bonutti PM, Boumphrey FR. MRI diagnosis of tuberculous vertebral osteomyelitis. Spine. 1990;15(6):462–5.CrossRefPubMed
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Chapman M, Murray RO, Stoker DJ. Tuberculosis of the bones and joints. Semin Roentgenol. 1979;14:266–82.CrossRefPubMed
Metadata
Title
Skeletal Tuberculosis
Authors
Saate Shakil, MD
Elliot Dickerson, MD
Rabih Geha, MD
Publication date
01-07-2017
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 7/2017
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-017-4001-6

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