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Advanced multifocal tuberculous spondylitis without disk involvement and with multidrug-resistant bacilli.

Neher A, Kopp W, Berna G, Frank J, Kohlhäufl M

Asklepios Professional Clinic München-Gauting, Centre for Pneumology and Thorax Surgery, Teaching Hospital of the Ludwig-Maximilians-University, Gauting, Germany. a.neher@asklepios.com

In this brief report, we describe a 23-year-old immunocompetent Nigerian patient with extensive multifocal tuberculous spondylitis without disk involvement. Cultures of sputum samples and biopsy samples from the L4 vertebra were positive for tuberculosis; drug-susceptibility testing of the isolates revealed multidrug resistance. Treatment with second-line drugs resulted in an excellent interim outcome after 6 months, without the need for surgical intervention.

Published 20 September 2007 in Clin Infect Dis, 45(8): e109-12.
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