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- W4376481289 abstract "Case: A 63-year-old farmer who is a known diabetic and chronic alcoholic presented with lower back pain and neurological weakness of lower limbs present for the past 3 months. His acute phase reactants were very high, and magnetic resonance imaging displayed L4-L5 vertebral involvement with epidural, paravertebral, and bilateral psoas abscesses. Cultures of an ultrasound-guided aspiration from the psoas were positive for Burkholderia pseudomallei, and a nucleic acid amplification test also detected Mycobacterium tuberculosis. He underwent posterior decompression and fixation, and intraoperative biopsy confirmed a granulomatous reaction. He received appropriate antibiotics for both diseases. At 1 year, he showed healing on radiographic imaging, with independent ambulation status. Conclusion: The coexistence of melioidosis and tuberculosis is rare, and as far as we know, a case of infective spondylodiscitis has not been reported. In patients with infective spondylodiscitis, every attempt should be made to confirm the diagnosis before starting empirical antitubercular treatment (ATT)." @default.
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- W4376481289 date "2023-01-01" @default.
- W4376481289 modified "2023-09-27" @default.
- W4376481289 title "Coinfection of Melioidosis and Tuberculosis Causing Infective Lumbar Spondylodiscitis" @default.
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- W4376481289 doi "https://doi.org/10.2106/jbjs.cc.22.00770" @default.
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