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Suggest Treatment For TB Of The Spine
Posted on
Fri, 19 Dec 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 19 Dec 2014
Answered on
Fri, 16 Jan 2015
Last reviewed on
Question : hi,
I wanted to know how to identify MDR tb or xdr tb sooner .
my mom (58 yrs)has been taking trac 4 tablets from last 4 weeks. her MRI is due in Tuesday. but I wanted to know how all variants of tb can be diagnosed before hand so that treatment can be started as soon as possible.
I am more concerned about early detection of MDR,xdr or tdr tb
thanks
XXXXXXX
I wanted to know how to identify MDR tb or xdr tb sooner .
my mom (58 yrs)has been taking trac 4 tablets from last 4 weeks. her MRI is due in Tuesday. but I wanted to know how all variants of tb can be diagnosed before hand so that treatment can be started as soon as possible.
I am more concerned about early detection of MDR,xdr or tdr tb
thanks
XXXXXXX
Brief Answer:
Based on efficacy of treatment.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney.
I understand your concern.
See, MDR TB or XDR TB is identified or suspected when a person is not responding to the standard treatment as guided by getting sputum positive for TB bacilli even after 2 months of appropriate treatment.
We also suspect that if a person has left the treatment previously in between or has got relapse.
We don't otherwise usually do workup for MDR or XDR TB.
However , if you are very concerned, you can simply get a Sputum Culture for TB bacilli and drug sensitivity done, which would definitely clear the picture. But ideally, this test should be done before starting the treatment.
I hope it helps.
If you have any further query please ask me.
Based on efficacy of treatment.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney.
I understand your concern.
See, MDR TB or XDR TB is identified or suspected when a person is not responding to the standard treatment as guided by getting sputum positive for TB bacilli even after 2 months of appropriate treatment.
We also suspect that if a person has left the treatment previously in between or has got relapse.
We don't otherwise usually do workup for MDR or XDR TB.
However , if you are very concerned, you can simply get a Sputum Culture for TB bacilli and drug sensitivity done, which would definitely clear the picture. But ideally, this test should be done before starting the treatment.
I hope it helps.
If you have any further query please ask me.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sorry for the confusion. my mom is diagnosed with tb of the spine. so not sure sputum sample will help. any other ways to determine. this is the first time she got tb and she has been taking medicine regularly.
Brief Answer:
Not required.
Detailed Answer:
Dear Friend
Routinely again , we don't do workup for MDR in cases of TB Spine ( Pott's Spine).
You would require her bone biopsy and Culture and sensitivity in case you want to know the sensitivity of the drugs.
This is cumbersome and not routinely performed.
I suppose, her chest Xray is clear.
Let her take the proper treatment, she will get fine.
If you have any further query please ask me.
Not required.
Detailed Answer:
Dear Friend
Routinely again , we don't do workup for MDR in cases of TB Spine ( Pott's Spine).
You would require her bone biopsy and Culture and sensitivity in case you want to know the sensitivity of the drugs.
This is cumbersome and not routinely performed.
I suppose, her chest Xray is clear.
Let her take the proper treatment, she will get fine.
If you have any further query please ask me.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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