[Limitations of medicine:diagnosis and therapy of <<inflammatory>> back pain].
A 34-year-old man from Ethiopia had been suffering from inflammatory lower backpain for five months. The imaging showed multiple osteolytic lesions histologically corresponding to a granulomatous inflammation. Detection of multiresistant Mycobacteria Tuberculosis (MDR-TB) was delayed because of initially negative microbiological findings. During the therapy of MDR-TB, the patient developed different side effects. In this article we focus on the challenge to diagnose and treat MDR-TB also in a resource-rich setting as it is the case for Switzerland.
Verena
V
Scharer
Roland
R
Hafner
Adrian
A
Ciurea
Lars
L
Henning
Akos
A
Somoskovi
Rainer
R
Weber
Jan
J
Fehr
D000328:Adult; D000995:Antitubercular Agents / Q000009:adverse effects / Q000627:therapeutic use; D001416:Back Pain / Q000209:etiology* / Q000628:therapy; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D018450:Disease Progression; D004359:Drug Therapy, Combination; D005002:Ethiopia / Q000208:ethnology; D006801:Humans; D007796:Laminectomy; D008297:Male; D011379:Prognosis; D012036:Refugees; D013557:Switzerland; D014391:Tuberculosis, Miliary / Q000175:diagnosis* / Q000188:drug therapy; D018088:Tuberculosis, Multidrug-Resistant / Q000175:diagnosis* / Q000188:drug therapy; D014399:Tuberculosis, Spinal / Q000175:diagnosis* / Q000188:drug therapy
D000995:Antitubercular Agents