15 years back my mom got her gall bladder removed due to stones.3 months back she got an attack of tuberculosis.skin test were +ve for tb n weight loss &amp; temperature was also dere.currently she is on combutol,PZA,R-Cinex.Crp,uric acid IGA,esr all r high.CT scan of

Question (Posted on : 05 Oct 2008 )

15 years back my mom got her gall bladder removed due to stones.3 months back she got an attack of tuberculosis.skin test were ve for tb n weight loss temperature was also dere.currently she is on combutol,PZA,R-Cinex.Crp,uric acid IGA,esr all r high.CT scan of brain,neck,ultrasound of lower abdomin MRI of spine knee joint r done but site of infection of tb is not found,even SGOT,SGPT r fine.she has tremendous pain in right knee doctors indicated a small increase of bone.while she has pain at back because of " degenerative central prolapse of L4/L5 disc with ligamentum flavum hypertrophy causing severe cauda equina compression " .where is d site of infection how to locate the site of infection of EXTRAPULMONARY TB? Is it important to locate d site of infection?

Doctor's Response (Posted on : 05 Oct 2008 )

If the presentation is clear cut for tb, then anti tb therapy can be started. A nuclear bone scan may pick the active disease area. Screening the body part by part by mri or ct may not be of value. If the complaintas are generalised only, not amouting to affection of a localised area then no need to locate or pin point the disease. The idea of localising the site may be of value to prevent further damage by the disease process and leading on the complication at that site say the spinal cord.

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