An alcohol-acid resistant backache

An alcohol-acid resistant backache

Authors

  • Issa El-Hamad Azienda Sanitaria Locale di Brescia. Dipartimento Malattie Infettive, Spedali Civili di Brescia
  • Carmelo Scarcella Azienda Sanitaria Locale di Brescia
  • Maria Chiara Pezzoli Azienda Sanitaria Locale di Brescia
  • Viviana Bergamaschi Dipartimento Malattie Infettive, Spedali Civili di Brescia

DOI:

https://doi.org/10.7175/cmi.v2i1.583

Keywords:

Migrant, Tuberculosis, Backache, Sciatic neuritis, Pott’s disease

Abstract

We reported the case of a Pakistani young man, illegally residing in Italy, complaining for chronic backache. X-ray was negative, while the blood test revealed neutrophilic leukocytosis and an increase in inflammation markers. Tuberculin skin test was negative. He worsened despite of repeated cycles of analgesic therapy and fluoroquinolones. After 4 months a nuclear magnetic resonance suggested tubercular (TB) spondylitis whose etiology was confirmed by ex-juvantibus criteria. It is important to take TB in account when facing an immigrant suffering from backache, coming from a highly endemic area.

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Published

2008-03-15

Issue

Section

Case report
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