SPINE TUBERCULOSIS in a CHILD, Dr LY VAN PHAI, MEDIC MEDICAL CENTER, HCMC VIETNAM

A 10yo MALE CHILD in DONG THAP PROVINCE, SUFFERED from a LONG PERIOD of CONTINUOUS HIGH FEVER for 31 DAYS in FOLLOW UP by PRIVATE DOCTOR, DONG THAP POLYCLINICS, TROPICAL DISEASE HOSPITAL of the HCMC.

LAB DATA of URINE ANALYSIS, BLOOD PICTURE, HEPATITIS, TYPHOID FEVER, MALARIA, BLOOD CULTURE, CHEST X-RAYS, SINUS CT, LUMBAR PUNCTURE, ABDOMINAL ULTRASOUND WERE NOTHING ABNORMAL .

At last, TROPICAL HOSPITAL SENT HIM to MEDIC ULTRASOUND to REEXAMINE in spite of FINDING out the CAUSE of FEVER. At that TIME, ULTRASOUND MEDIC DISCLOSED FORTUNATELY a PARAVERTEBRAL ABSCESS WHICH BENT outside the LEFT PSOAS MUSCLE.
Later MRI CONFIRMED that by the IMAGES of VERTEBRAL CARIES on L2-L3 VERTEBRA in SETTING up a PARAVERTEBRAL ABSCESS .










Under a TUBERCULOSIS TREATMENT for 3 MONTHS, the PATIENT HAD NO FEVER after the FIRST MONTH and the PARAVERTEBRAL ABSCESS REDUCED the SIZE and NOW a VERTEBRAL SPLINT WAS PERFORMED for the 10yo CHILD.