On March 29, 2023, Dr. Manoon Leechawengwong, a specialist in respiratory diseases Vichaiyut Hospital Post a message via Facebook. Doctor Manoon Leechawengwong FC It was stated that a 29-year-old female patient had back pain for 7 months, couldn’t stoop, had difficulty walking due to back pain, no fever, no appetite, no weight loss, and no underlying disease. No one in the house had tuberculosis.
regular physical examination Blood work, everything is normal. X-rays of the lungs and normal lumbar spine. Abnormal MRI of the lumbar spine, suspected tuberculosis of the first lumbar spine, and suspected surrounding inflammation. The tissues of the 1st and 2nd lumbar vertebrae were also included (see figure). Submitted a negative tuberculosis smear test. Waiting for TB culture results send for pathology examination The result was tissue death, no cancer was found.
Start administering 4 tuberculosis drugs at the same time. Tuberculosis medicines must be taken continuously for about 1 year. Tuberculosis is caused by a bacterium called Mycobacterium tuberculosis (Mycobaclerium tuberculosis) transmitted by respiratory It can happen to every organ of the body. For example, in this patient was in the spine, but 80% occurred in the lungs. Tuberculosis is a common disease. Tuberculosis causes more than 100,000 Thai people per year and 10,000 deaths per year.