2023-08-30 04:43:34
Title: “Doctor Manoon Uncovers Rare Case of Bacterial Infection in the Spine Resembling Tuberculosis”
Date: August 30, 2023
Time: 09:21
Respiratory specialist, Dr. Manoon Leechawengwong, has recently shed light on a puzzling case of a bacterial infection in the spine resembling tuberculosis. The patient, a 57-year-old male, began experiencing mid-back pain and weight loss of 4 kg. Interestingly, his sister had previously been diagnosed with pulmonary tuberculosis, although no tuberculosis was detected in his case.
Further examination revealed that the patient’s thoracic spine, specifically the 4th and 5th vertebrae, as well as some cervical vertebrae, had been destroyed. A bacterial infection was detected, however, the method through which the pathogen entered the bones and intervertebral discs remains unclear.
The symptoms exhibited by the patient were similar to those of tuberculosis, including a low-grade fever in the evening, anorexia, and persistent pain. Despite these symptoms, the patient was still able to walk and did not experience weakness in his limbs.
Various medical tests were conducted to identify the cause of his symptoms. A blood test indicated slight anemia but showed normal white blood cell count. Lung x-rays did not show any abnormalities either. An MRI of the thoracic spine confirmed the destruction of vertebrae and suspected tissue inflammation. To rule out tuberculosis, a tissue puncture procedure was performed, but both bacteria and tuberculosis were not detected.
As the patient’s condition worsened after a fall, he experienced difficulty walking, weakness in his legs, and a high fever. Cultures from his blood revealed the presence of Staphylococcus aureus, a bacterium known for causing severe infections. The doctor diagnosed the patient with spondylodiscitis, a bacterial infection of the spine and intervertebral discs.
The treatment consisted of intravenous administration of Cloxacillin, an antibiotic effective against Staphylococcus aureus. Additionally, intervertebral disc necrosis was performed on the affected 4th and 5th thoracic vertebrae. Spinal screws were inserted to stabilize the spine, and the intervertebral disc was incubated for further testing, which confirmed the presence of the same bacteria found in the blood.
After eight weeks of intravenous antibiotics, the patient’s condition improved significantly. He no longer experienced fever or back pain and exhibited improved mobility. The rarity of bacterial infections in the spine and intervertebral discs, coupled with their resemblance to tuberculosis infections, poses a diagnostic challenge for medical professionals.
Dr. Manoon highlighted three possible routes through which bacteria can enter the bones and intervertebral discs: direct penetration, spread from nearby infections, or through the bloodstream. However, in this particular case, the exact method of bacterial entry remains uncertain.
Bacterial infections of the spine and intervertebral discs necessitate early detection and appropriate treatment to prevent long-term complications. As research continues, advancements in understanding and diagnosing such infections will be vital for providing effective and timely care to patients facing this rare condition.]
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