“T†For Tuberculosis, “T†For Tumour, “T†For Tension

Arnab Sinha
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Arnab Sinha: Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, India

Juniper Online Journal of Orthopedic & Orthoplastic Surgery, 2018, vol. 1, issue 3, 61-62

Abstract: Low back ache is one of the most common complain of patients reporting to any Orthopaedic outpatient department. After exclusion of post traumatic, osteopenic and inflammatory arthropathy for chronic back ache, the bulk of the etiology is either tuberculosis or anaplastics (metastasis being the most common anaplastic condition).In my country, due to the increased prevalence of Tuberculosis and the practical acceptance of trial first line Anti Tubercular Therapy, it is the first diagnosis that comes to our mind while anaplastic conditions are our last bet. More often than not, on getting the traid of constitutional symptoms, spondylodiscitis and raised ESR, we start trial first line ATT, forgetting that the features of TB and anaplastics may mimic each other. Only after failure to respond to trial first line ATT, we go for Gene Xpert test (for Drug resistance tuberculosis), biopsy (for tuberculosis or analytics) and tests for the work up of metastasis of unknown origin to check for Drug Resistance TB or anaplastics.

Keywords: juniper publishers; Journal of Orthopedic; Orthoplastic Surgery; Online Journal of Orthopedic & Orthoplastic Surgery; Journal of Orthoplastic Surgery; journal of orthopaedics; orthopaedics journals impact factor; orthopaedics articles impact factor; scholarly publishing orthopedics journals; open access orthopedics journal (search for similar items in EconPapers)
Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:adp:jojoos:v:1:y:2018:i:3:p:61-62

DOI: 10.19080/JOJOOS.2018.01.555565

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