Abstract
A 34-year-old man from Ethiopia had been suffering from inflammatory lower backpain for five months. The imaging showed multiple osteolytic lesions histologically corresponding to a granulomatous inflammation. Detection of multiresistant Mycobacteria Tuberculosis (MDR-TB) was delayed because of initially negative microbiological findings. During the therapy of MDR-TB, the patient developed different side effects. In this article we focus on the challenge to diagnose and treat MDR-TB also in a resource-rich setting as it is the case for Switzerland.
MeSH terms
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Adult
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Antitubercular Agents / adverse effects
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Antitubercular Agents / therapeutic use
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Back Pain / etiology*
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Back Pain / therapy
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Combined Modality Therapy
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Diagnosis, Differential
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Disease Progression
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Drug Therapy, Combination
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Ethiopia / ethnology
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Humans
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Laminectomy
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Male
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Prognosis
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Refugees*
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Switzerland
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Tuberculosis, Miliary / diagnosis*
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Tuberculosis, Miliary / drug therapy
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Tuberculosis, Multidrug-Resistant / diagnosis*
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Tuberculosis, Multidrug-Resistant / drug therapy
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Tuberculosis, Spinal / diagnosis*
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Tuberculosis, Spinal / drug therapy